| NPI | 1508398231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN BACILIO President/CEO 202-905-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |