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4140 OLD WASHINGTON HIGHWAY OPERATIONS LLC

Skilled Nursing Facility

Waldorf, Maryland

Provider NPI: 1861673428

Organization Information:
Organization Name:  4140 OLD WASHINGTON HIGHWAY OPERATIONS LLC


Practice Location:
4140 OLD WASHINGTON RD  WALDORF, MD 20602 US
Tel: 301-645-2813  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
MD08-006

Other Provider Identifiers:

IssuerNumberStateType
413976300MD05
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