| NPI | 1679353387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 3AL3944) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MD 3AL3944) | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MD 3AL3944) | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-04-10 |