| NPI | 1578706990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED EZEKWESILI Administrator 410-298-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MD R2736P) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2022-06-06 |