| NPI | 1275653487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DOZOR Occupational Therapist 410-269-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 05530) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-03-14 |