| NPI | 1962559104 |
|---|---|
| Doing Business As | STODDARD BAPTIST NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | MA,REMEDIOS JOSE-JOHNSON Administrator 202-328-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: DC HFD02-0019) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-04-16 |