| NPI | 1760042865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMITOPE OLABODE Owner 443-682-3374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-11-16 |