| NPI | 1417227786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT L BROWNE Director 301-445-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: WV NO LICENSE AS YET) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |