| NPI | 1861633117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUNG CHU NG Manager 301-807-5236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 15AL0282) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |