NPI | 1396239299 |
---|---|
Entity Type | Organization |
Authorized Contact | ADETIMBO ADEDIRAN Family Nurse Practitioner 240-722-9763 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD R194854) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R194854) |
Enumeration Date | 2018-06-15 |
Last Update Date | 2018-06-15 |