| NPI | 1336345727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK OLADEINDE Administrator 410-321-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD MH - 1584) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: MD NS1309006) |
| 251S00000X (Licence: MD R2448R) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2015-06-29 |