| NPI | 1508671306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN GARDNER Owner & CEO 301-928-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |