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CANTON HARBOR HEALTHCARE CENTER, INC

Skilled Nursing Facility

Baltimore, Maryland

Provider NPI: 1629072327

Organization Information:
Organization Name:  CANTON HARBOR HEALTHCARE CENTER, INC


Practice Location:
1300 S ELLWOOD AVE  BALTIMORE, MD 21224 US
Tel: 410-342-6644  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
MD30-001

Other Provider Identifiers:

IssuerNumberStateType
197000300MD05
MEDICAID DME711480000MD01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




SKILLED NURSING JOBS MD - Page 1