16 Fusting Avenue Operations Llc

NPI 1083896542 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1083896542
Enumeration Date 11/27/2007
Last Updated 01/08/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL T. MICHAEL
Position ASSISTANT SECRETARY
Phone (410) 747-1800
Fax (410) 747-0822
Practice Location
16 FUSTING AVE
BALTIMORE MD, 21228-4413, US
Phone (410) 747-1800
Fax (410) 747-0822
Business Location
101 E STATE ST
KENNETT SQUARE PA, 19348-3109, US
Phone (610) 925-4436
Fax (610) 925-4351
Toxanomy
Taxonomy Code 314000000X
License State Maryland
License Number 03-018
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According to our database, 16 Fusting Avenue Operations Llc NPI is 1083896542, taxonomy code is 314000000X and license number is 03-018, license state is located at Maryland. 16 Fusting Avenue Operations Llc physically located at 16 Fusting Ave, Baltimore MD, 21228-4413. NPI Number 1033115704 has the healthcare provider type.

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1083896542 NPI number is provided on an as is basis without warranty of any kind. 1083896542 is maintained by the National Plan & Provider Enumeration System. The contents of 16 Fusting Avenue Operations Llc are for informational purposes only.