| NPI | 1942734843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI RUTH AGWUNA Owner/Manager 443-956-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2018-10-10 |