| NPI | 1861441784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY N. CROWLEY Administrator 410-957-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 23001) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-04-15 |