NPI | 1336598390 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA POPP Program Director 410-591-5808 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 24829) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2016-07-08 |