| NPI | 1285109157 |
|---|---|
| Doing Business As | NORTH BAY RETIREMENT LIVING |
| Entity Type | Organization |
| Authorized Contact | HENRY JAMES VAUGHN Reimbursement Analyst 240-882-9712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311500000X Alzheimer Center (Dementia Center) | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-02-27 |