| NPI | 1619146461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAIYE ORIMOLADE Chief Executive Officer 301-792-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |