Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareCANTON 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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1300 S ELLWOOD AVE BALTIMORE, MD 21224 US
Tel: 410-342-6644 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MD | 30-001 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 197000300 | MD | 05 | |
| MEDICAID DME | 711480000 | MD | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin