Cherry Lane Medical Investors LLC
Skilled Nursing Facility in Laurel, MD. Organization (NPI-2).
NPI number1124074620
StatusActive
Last updated in NPPESDec 23, 2009
Details
- NPI
- 1124074620
- Entity type
- Organization (NPI-2)
- Legal business name
- Cherry Lane Medical Investors LLC
- Organization subpart
- Yes
- Enumeration date
- May 26, 2006
- Last updated
- Dec 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 16-033 | MD | Yes |
Practice location
9001 Cherry LnLaurel, MD 20708-1155
Phone 301-498-8558 · Fax 301-317-1930
Mailing address
9001 Cherry LnLaurel, MD 20708-1155
Phone 301-498-8558 · Fax 301-317-1930
Authorized official
Tim Beaulieu
Owner
4048763836
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