| NPI | 1447863162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAMA MAGONA Manager 240-542-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |