| NPI | 1790795672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE C. STONE Administrator 410-651-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |