NPI | 1457542250 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER LEE GARRETT PT A 443-725-5125 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD A1661) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2007-08-06 |