| NPI | 1649766031 |
|---|---|
| Doing Business As | DIVINE MANOR ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | NADINE MCDANIEL Administrator 301-651-4037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2021-09-30 |