| NPI | 1902126246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATRISHA LASHAWN WASHINGTON-JACKSON Administrator 443-362-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 1004004) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |