SANDTOWN WINCHESTER NURSING HOME, LLC
Skilled Nursing Facility
Baltimore, Maryland
Provider NPI: 1043214745
Organization Information:Organization Name: SANDTOWN WINCHESTER NURSING HOME, LLC
Practice Location:
1000 N GILMOR ST BALTIMORE, MD 21217 US
Tel: 410-669-2750 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:
1000 N GILMOR ST BALTIMORE, MD 21217 US
Tel: 410-669-2750 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MD | 30-094 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICAID DME | 471800300 | MD | 01 |
300697200 | MD | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin