Wicomico Nursing Home

NPI 1629013925 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1629013925
Enumeration Date 06/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARY E MARY
Position ADMINISTRATOR
Phone (410) 742-8896
Fax (410) 742-4987
Practice Location
900 BOOTH ST
SALISBURY MD, 21801-3006, US
Phone (410) 742-8896
Fax (410) 742-4987
Business Location
PO BOX 2378
SALISBURY MD, 21802-2378, US
Phone (410) 742-8896
Fax (410) 742-4987
Toxanomy
Taxonomy Code 313M00000X
License State Maryland
License Number 22006
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According to our database, Wicomico Nursing Home NPI is 1629013925, taxonomy code is 313M00000X and license number is 22006, license state is located at Maryland. Wicomico Nursing Home physically located at 900 Booth St, Salisbury MD, 21801-3006. NPI Number 1033115704 has the healthcare provider type.

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1629013925 NPI number is provided on an as is basis without warranty of any kind. 1629013925 is maintained by the National Plan & Provider Enumeration System. The contents of Wicomico Nursing Home are for informational purposes only.