11974 Edgehill Terrace Opco LLC
Skilled Nursing Facility in Princess Anne, MD. Organization (NPI-2).
NPI number1467198788
StatusActive
Last updated in NPPESAug 14, 2023
Details
- NPI
- 1467198788
- Entity type
- Organization (NPI-2)
- Legal business name
- 11974 Edgehill Terrace Opco LLC
- Organization subpart
- No
- Enumeration date
- May 10, 2022
- Certification date
- Aug 14, 2023
- Last updated
- Aug 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | |
| 313M00000X | Nursing Facility/Intermediate Care Facility | – | – | |
| 385H00000X | Respite Care | – | – |
Other names
- Manokin Nursing And Rehab (Doing Business As)
Practice location
11974 Edgehill Terrace RdPrincess Anne, MD 21853-2105
Phone 410-651-0011
Mailing address
28 Roosevelt AveLakewood, NJ 08701-5654
Phone 732-744-4611
Authorized official
Yechiel Hirth
Ceo
7327444611
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