| NPI | 1356140404 |
|---|---|
| Doing Business As | SMALL HEAVEN ADULT FAMILY HOME |
| Entity Type | Organization |
| Authorized Contact | SHAMBHU SHRESTHA Owner 443-848-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-14 |