899 Cecil Avenue Operations LLC

NPI #1770765240 in Gambrills, Maryland

Provider Information

NPI Number
1770765240
Entity Type
Organization
Organization Name
899 Cecil Avenue Operations LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 27, 2007
Last Updated
Jan 15, 2016

Practice Location

Address
1221 WAUGH CHAPEL RD
ZIP Code
21054-1608
Phone
(410) 923-2020

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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