NPI | 1902819923 |
---|---|
Entity Type | Organization |
Authorized Contact | DOREEN A K HINES CEO 301-617-0083 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
Enumeration Date | 2006-08-14 |
Last Update Date | 2022-08-17 |