| NPI | 1609859107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY A HUBBERT Medical Billing 443-578-8073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 03-030) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235500000X Specialist/Technologist | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2009-12-17 |