| NPI | 1992344972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY J VAUGHN Reimbursement Analyst 240-882-9712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |