9101 Second Avenue Operations LLC
NPI #1528240090 in Silver Spring, Maryland
Provider Information
- NPI Number
- 1528240090
- Entity Type
- Organization
- Organization Name
- 9101 Second Avenue Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 27, 2007
- Last Updated
- Jan 8, 2016
Practice Location
- Address
- 9101 2ND AVE
- City
- Silver Spring
- State
- Maryland
- ZIP Code
- 20910-2152
- Phone
- (301) 588-5544
Authorized Official
- Name
- MICHAEL T. BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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