| NPI | 1275882318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TILETA I VENABLE President 202-758-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |