| NPI | 1548480411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ELIZABETH RAINES Speech Pathologist 410-562-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MD 05390) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |