| NPI | 1831965359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD SIMMONS Owner 443-220-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-29 |