| NPI | 1629415385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDE MEUMELIEU Home Health Aid 443-447-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: DC 1268912) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |