| NPI | 1679106512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY J VAUGHN Reimbursement Analyst 240-595-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |