| NPI | 1871849729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN MCBRIDE Registered Nurse 443-366-9694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MD 311ZA0620X) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |