| NPI | 1497859938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY BOWEN CFO 410-951-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311Z00000X Custodial Care Facility | |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2009-03-19 |