| NPI | 1639000771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOSI HARRIS Assisted Living Facility Manager 240-273-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-09-04 |