Cherry Lane Operating Group LLC
Skilled Nursing Facility in Laurel, MD. Organization (NPI-2).
NPI number1942773247
StatusActive
Last updated in NPPESJan 9, 2019
Details
- NPI
- 1942773247
- Entity type
- Organization (NPI-2)
- Legal business name
- Cherry Lane Operating Group LLC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2019
- Last updated
- Jan 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | – | – | |
| 385H00000X | Respite Care | – | – |
Other names
- Cherry Lane Nursing And Rehabilitation Center (Doing Business As)
Practice location
9001 Cherry LnLaurel, MD 20708-1120
Phone 301-498-8558 · Fax 301-317-1851
Mailing address
14c 53rd St Ste 220Brooklyn, NY 11232-2644
Phone 877-567-0402
Authorized official
Sam Stern
Cfo
8775670402
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