| NPI | 1962484857 |
|---|---|
| Doing Business As | EDENTON RETIREMENT COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | RAEANN E. BUTLER Administrator 301-694-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 10AL011) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MD 10AL021) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |