| NPI | 1912337106 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | GUY NDIBANG Health Aid 301-560-1352 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: 144784) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |