Organization · Type 2 NPI

Charleston Grove, LLC

Assisted Living Facility · Waldorf, MD

NPI number 1336673177 Active

About NPI 1336673177

Charleston Grove, LLC's National Provider Identifier is 1336673177, issued on Apr 19, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Waldorf, MD. The record was last updated on Apr 19, 2017.