NPI | 1801879390 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLEY ANN HUBBERT Medical Billing/Accounting Dept. 443-578-8043 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Additional Taxonomies | 310400000X Assisted Living Facility |
314000000X Skilled Nursing Facility | |
Enumeration Date | 2005-11-29 |
Last Update Date | 2009-12-17 |