| NPI | 1528122363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MORANZ Adminstrator 410-624-3964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MD 007110) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-06-21 |