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 |