NPI | 1417490277 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXIS GILLESPIE President/C RN P 443-597-6042 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: MD R191772) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MD R191772) |
Enumeration Date | 2016-11-28 |
Last Update Date | 2017-03-03 |