| NPI | 1417293507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL CANTY Administrator 410-449-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 385H00000X Respite Care | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |