{
"Npi": {
"NPI": "1548460231",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SENIOR LIFE CHOICE OF SALISBURY, L.L.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1109 S SCHUMAKER DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SALISBURY",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21804-9256",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-749-4480",
"MailingAddressFaxNumber": "410-546-9710",
"FirstLinePracticeLocationAddress": "1109 S SCHUMAKER DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SALISBURY",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21804-9256",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-749-4480",
"PracticeLocationAddressFaxNumber": "410-546-9710",
"EnumerationDate": "07/20/2007",
"LastUpdateDate": "07/20/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SPACK",
"AuthorizedOfficialFirstName": "ARLENE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "410-749-4480",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "22AL019",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}