| NPI | 1386690709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L LEWIS Assistant Administrator 410-778-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MD 146017000) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MD 215260) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |