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1801 WENTWORTH ROAD OPERATIONS LLC

Skilled Nursing Facility

Baltimore, Maryland

Provider NPI: 1467634931

Organization Information:
Organization Name:  1801 WENTWORTH ROAD OPERATIONS LLC


Practice Location:
1801 WENTWORTH RD  BALTIMORE, MD 21234 US
Tel: 410-661-5717  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
MD03-027

Other Provider Identifiers:

IssuerNumberStateType
413971200MD05
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