| NPI | 1952732307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ASSIRAN Manager 410-769-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2013-ALII-63901) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-16 |