| NPI | 1689108714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE M NAVARRO Cna/Medtech 410-793-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2017-04-15 |