3332 Main Street Opco LLC
NPI #1952047326 in Manchester, Maryland
Provider Information
- NPI Number
- 1952047326
- Entity Type
- Organization
- Organization Name
- 3332 Main Street Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 9, 2022
- Last Updated
- Aug 16, 2022
Practice Location
- Address
- 3332 MAIN ST
- City
- Manchester
- State
- Maryland
- ZIP Code
- 21102-1952
- Phone
- (410) 239-7139
Authorized Official
- Name
- SAM STERN
- Title
- CFO
- Phone
- (877) 567-0402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Respite Care |
| Skilled Nursing Facility |
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