| NPI | 1790767952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MABRY CEO 301-541-5024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 16034) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MD 16AL0340) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2025-09-11 |