| NPI | 1689937856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PACITA REGALADO ANSARI President 410-769-8094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD R1015) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: MD 84498) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |