| NPI | 1932194610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT P. MCCUBBIN Administrator 301-279-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 15-019) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2014-06-13 |