| NPI | 1447559406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA A WEST Manager 443-271-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 30Al3017B) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |