| NPI | 1790058568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN COOPER Manager 410-905-3654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 13AL0232-C) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |