| 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 |