| NPI | 1588141014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA LORRIANE JACKSON Owner Manager 443-325-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 30AL3589-A) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |