Augsburg Lutheran Home of MD INC

NPI #1720085897 in Baltimore, Maryland

Provider Information

NPI Number
1720085897
Entity Type
Organization
Organization Name
Augsburg Lutheran Home of MD INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 5, 2005
Last Updated
Oct 24, 2011

Practice Location

Address
6811 CAMPFIELD RD
ZIP Code
21207-4657
Phone
(410) 486-4573

Authorized Official

Name
JEROME DAVID POTTER
Title
INFORMATION SYSTEMS MANAGER
Phone
(443) 471-1004

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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