| NPI | 1871189985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR EGBIREMOLEN Owner/Assisted Living Manager 443-682-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |