| NPI | 1316231160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE PRICE Program Manager 410-350-8514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MD 225200000X) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |