| NPI | 1700323623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 30AL3144-D) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MD 30AL3144-D) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MD 30AL3144-D) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |