Individual provider · Type 1 NPI
Wenonah Gwynn
Assisted Living Facility · Forestville, MD
NPI number
1073157293
Active
Practice location
3333 Pumphrey Dr
Forestville, MD 20747-4308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 16AL1226-A (MD) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1073157293
Wenonah Gwynn's National Provider Identifier is 1073157293, issued on Oct 31, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Forestville, MD. The record was last updated on Oct 31, 2019.