NPI | 1487293007 |
---|---|
Entity Type | Organization |
Authorized Contact | HANNAH DIBONGE Administrator 240-506-1728 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
Enumeration Date | 2019-12-30 |
Last Update Date | 2022-06-28 |