NPI | 1952524332 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY LAWSON Program Director 301-777-8422 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 15905) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MD 15900) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |