| NPI | 1659818235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA DELANO Facility Administrator 240-478-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: TX 106661) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TX 106661) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |