| NPI | 1669919387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONOVAN PARKES Physician 410-428-1382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 30AL3431-A) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |