| NPI | 1861016693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C MADUBUKO Administrator 240-334-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-10-29 |