| NPI | 1487528873 |
|---|---|
| Other Name | AUTUMN LAKE HEALTHCARE AT HOMEWOOD CENTER |
| Entity Type | Organization |
| Authorized Contact | KAMAL SALAH H SEWARALTHAHAB Co Owner 410-323-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |