| NPI | 1871793877 |
|---|---|
| Doing Business As | NICHOLS SHELTER HOME FOR ELDERLY |
| Entity Type | Organization |
| Authorized Contact | EVA SUE NICHOLS Owner 410-676-3374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD 12AL045) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |