| NPI | 1912383910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE COHEN Business Manager 410-825-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 01561) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MD W00473) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |