NPI | 1508316126 |
---|---|
Doing Business As | FOREST HAVEN NURSING HOME |
Entity Type | Organization |
Authorized Contact | RONNIE COLBERT President 410-747-7425 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2016-10-06 |
Last Update Date | 2017-03-07 |