| NPI | 1588936389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL P MCLEAN Nurse Practitioner 301-395-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD R131588) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MD R131588) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |