| 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 |