Organization · NPI-2
Annapolis Life Care, INC.
Skilled Nursing Facility · Annapolis, MD
NPI number1407847247
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1407847247
- Entity type
- Organization (NPI-2)
- Legal business name
- Annapolis Life Care, INC.
- Organization subpart
- No
- Enumeration date
- Nov 1, 2005
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 02-001 | MD | Yes |
Other names
- Ginger Cove (Doing Business As)
Practice location
4000 River Crescent DrAnnapolis, MD 21401-7721
Phone 410-266-7300 · Fax 410-266-6144
Mailing address
4000 River Crescent DrAnnapolis, MD 21401-7721
Phone 410-266-7300 · Fax 410-266-6144
Authorized official
Phyllis Boulden
Administrator
4102667300
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