| NPI | 1750593893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUVINIA MATHILDE BLACKSTON Licensed Practical Nurse 410-367-5975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MD LP14596) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |