Haven Nursing Home, INC

NPI #1265436885 in Baltimore, Maryland

Provider Information

NPI Number
1265436885
Entity Type
Organization
Organization Name
Haven Nursing Home, INC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Jun 10, 2005
Last Updated
Jan 2, 2009

Practice Location

Address
3939 PENHURST AVE
ZIP Code
21215-5632
Phone
(410) 664-9535

Authorized Official

Name
MR. AL L HOLSOPPLE, NHA
Title
ADMINISTRATOR
Phone
(410) 664-9535

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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