NPI | 1790767952 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY MABRY CEO 301-541-5024 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 16AL0340) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MD 16034) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2020-08-22 |