| NPI | 1518402270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRED KANDIE CHEMWEI KANDIE Administrator 301-474-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 16AL1059-B) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |