56 West Frederick Street Operations LLC

NPI #1275841322 in Walkersville, Maryland

Provider Information

NPI Number
1275841322
Entity Type
Organization
Organization Name
56 West Frederick Street Operations LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 22, 2010
Last Updated
Jan 8, 2016

Practice Location

Address
56 W FREDERICK ST
ZIP Code
21793-8254
Phone
(301) 898-4300

Authorized Official

Name
MICHAEL T. BERG
Title
ASSISTANT SECRETARY
Phone
(505) 468-4752

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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