| NPI | 1407219082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCIA LISA MORENO President 240-394-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |