# HEARTLAND HEALTH CARE CENTER ADELPHI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154440667
- **Authorized official:** MR. CHARLES R WOODBERRY JR. (ADMINISTRATOR)
- **Authorized official phone:** (301) 434-0500

## Contact information

- **Practice address:** 1801 METZEROTT RD, ADELPHI, MD 20783-5101
- **Practice address phone:** (301) 434-0500
- **Practice address fax:** (301) 434-6311
- **Mailing address:** 1801 METZEROTT RD, ADELPHI, MD 20783-5101
- **Mailing address phone:** (301) 434-0500
- **Mailing address fax:** (301) 434-6311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 16012 | MD | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 01/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 037538100 | — | DC |
| 05 | — | 413513000 | — | MD |
