| NPI | 1538142146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DENTON Executive Director 301-216-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 15-022) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2008-01-28 |