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313 Hospital Drive Opco LLC

Skilled Nursing Facility in Glen Burnie, MD. Organization (NPI-2).

NPI number1588313647
StatusActive
Last updated in NPPESMar 23, 2022

Details

NPI
1588313647
Entity type
Organization (NPI-2)
Legal business name
313 Hospital Drive Opco LLC
Organization subpart
No
Enumeration date
Mar 23, 2022
Certification date
Mar 23, 2022
Last updated
Mar 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes
313M00000X Nursing Facility/Intermediate Care Facility––
385H00000X Respite Care––

Other names

  • Autumn Lake Healthcare At Baltimore Washington (Doing Business As)

Practice location

313 Hospital Dr
Glen Burnie, MD 21061-5803

Phone 410-761-1222

Mailing address

14c 53rd St
Brooklyn, NY 11232-2644

Phone 877-567-0402

Authorized official

Sam Stern
Cfo
8775670402

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