| 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 |