Northwest Snf Llc

NPI 1053609800 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1053609800
Enumeration Date 07/14/2011
Last Updated 07/14/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BRETTON J BRETTON
Position MANAGER
Phone (410) 664-5551
Fax
Practice Location
4601 PALL MALL RD
BALTIMORE MD, 21215, US
Phone (410) 664-5551
Fax
Business Location
1701 PONTIAC RD
EAST GRAND RAPIDS MI, 49506, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Northwest Snf Llc NPI is 1053609800, taxonomy code is 314000000X Northwest Snf Llc physically located at 4601 Pall Mall Rd, Baltimore MD, 21215. NPI Number 1033115704 has the healthcare provider type.

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1053609800 NPI number is provided on an as is basis without warranty of any kind. 1053609800 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Snf Llc are for informational purposes only.