Hermitage Healthcare Of Manokin Manor, LLC
Skilled Nursing Facility, Nursing Care, Pediatric in Princess Anne, MD. Organization (NPI-2).
NPI number1790795672
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790795672
- Entity type
- Organization (NPI-2)
- Legal business name
- Hermitage Healthcare Of Manokin Manor, LLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3140N1450X | Skilled Nursing Facility, Nursing Care, Pediatric | – | – | Yes |
Other names
- Manokin Manor Nursing & Rehab Ctr. (Doing Business As)
Practice location
11974 Edgehill Terrace RdPrincess Anne, MD 21853-2105
Phone 410-651-0011 · Fax 410-543-4471
Mailing address
11974 Edgehill Terrace RdPrincess Anne, MD 21853-2105
Phone 410-651-0011 · Fax 410-543-4471
Authorized official
Bonnie C. Stone
Administrator
4106510011
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