| NPI | 1477508398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHUVA Y WEINREB Administrator 410-458-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 814) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |