Charleston Grove, LLC
NPI #1336673177 in Waldorf, Maryland
Provider Information
- NPI Number
- 1336673177
- Entity Type
- Organization
- Organization Name
- Charleston Grove, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 19, 2017
- Last Updated
- Apr 19, 2017
Practice Location
Authorized Official
- Name
- MR. PATRICK GOFF
- Title
- EXECUTIVE DIRECTOR
- Phone
- (240) 270-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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