| NPI | 1720709157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE MAYER Manager 301-863-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-06-20 |