| NPI | 1962850230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEN BOURGEOIS Executive Director 410-893-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 12AL0170-A) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |