| NPI | 1538159595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SISTER VACHA KLUDZIAK Administrator 301-277-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MD 16018) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2016-01-26 |