# JOINT RETIREMENT CONVENT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE VILLA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528045986
- **Authorized official:** MRS. CAROL A ZAICKO (ADMINISTRATOR)
- **Authorized official phone:** (410) 377-2450

## Contact information

- **Practice address:** 6806 BELLONA AVENUE, BALTIMORE, MD 21212-1299
- **Practice address phone:** (410) 377-2450
- **Practice address fax:** (410) 377-2501
- **Mailing address:** 6806 BELLONA AVENUE, BALTIMORE, MD 21212-1299
- **Mailing address phone:** (410) 377-2450
- **Mailing address fax:** (410) 377-2501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 03-070 | MD | Yes |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 10/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 510090900 | — | MD |
| 05 | — | 981503100 | — | MD |