| NPI | 1750829495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEONPO YARL Md 240-604-9582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MD RN098721) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |