| NPI | 1417162520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANN ERDMAN Pres 410-371-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 30AL845) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MD 30Al420) |
| 311Z00000X Custodial Care Facility (Licence: MD 30AL2271) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |