| NPI | 1891070645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE MONA VIVENS Assisted Living Manager 240-644-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 15AL0446-A) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |