NPI | 1386905735 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE WILLIAMS Nurse 202-291-6973 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MD t-352-174-080-684) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: DC 37) |
Enumeration Date | 2012-06-01 |
Last Update Date | 2012-06-01 |