| NPI | 1508911280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEVELAND SMITH Assistant Director 410-601-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 30042) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-05-19 |