NPI | 1336142702 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA R CULBERSON Assistant Business Manager 410-658-6555 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 07AL0010) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MD 07001) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2020-08-22 |