| NPI | 1639554363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDA CHIGOZIE ANYAOHA Lpn 301-773-4561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MD Lp34473) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: MD Lp34473) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |