| NPI | 1669601746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN AITUAYUWA OMOREGBEE Administrator 301-333-5918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MD R2767) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |