| NPI | 1831189042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LEROY YOUNGER Administrator 410-535-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 04-002) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MD 314000000X) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2010-07-20 |