| NPI | 1841237997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVERN JONES Administrator 410-945-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 30-081) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-05-14 |