1801 Wentworth Road Operations LLC
Skilled Nursing Facility in Baltimore, MD. Organization (NPI-2).
NPI number1467634931
StatusActive
Last updated in NPPESJan 8, 2016
Details
- NPI
- 1467634931
- Entity type
- Organization (NPI-2)
- Legal business name
- 1801 Wentworth Road Operations LLC
- Organization subpart
- No
- Enumeration date
- Nov 27, 2007
- Last updated
- Jan 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 03-027 | MD | Yes |
Other names
- Perring Parkway Center (Doing Business As)
Practice location
1801 Wentworth RdBaltimore, MD 21234-6128
Phone 410-661-5717 · Fax 410-668-4328
Mailing address
101 E State StKennett Square, PA 19348-3109
Phone 610-925-4436 · Fax 610-925-4351
Authorized official
Michael T. Berg
Assistant Secretary
5054684752
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