| NPI | 1770624272 |
|---|---|
| Doing Business As | 64 RIESTERSTOWN ROAD LLC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH EDWARD DEVADOSS Owner 410-298-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |