| NPI | 1447510714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHAPIRO VP, Area Controller 410-832-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MD R188822) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2018-04-12 |