| NPI | 1326289182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED EZEKWESILI President 443-414-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2009-03-08 |
| Last Update Date | 2009-03-08 |