NPI | 1881873057 |
---|---|
Entity Type | Organization |
Authorized Contact | DARREN LAMONT PURNELL Administrator 410-802-3815 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: MD R2430P) |
Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MD R2430P) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2007-10-24 |