PINEVIEW EXTENDED CARE CENTRE, INC.
Skilled Nursing Facility
Clinton, Maryland
Provider NPI: 1245234939
Organization Information:Organization Name: PINEVIEW EXTENDED CARE CENTRE, INC.
Practice Location:
9106 PINE VIEW LN CLINTON, MD 20735 US
Tel: 410-647-0015 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:
9106 PINE VIEW LN CLINTON, MD 20735 US
Tel: 410-647-0015 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MD | 16-032 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
160077000 | MD | 05 | |
MEDICAID DME | 754908300 | MD | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin