| NPI | 1396025193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIS RENE FOX CEO 443-850-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MD L13903869) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |