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 |