| NPI | 1659673374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENEDICTA VIGER AZONGHO D.O.N 301-404-9059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: DC 300000099984) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |