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Organization
PENINSULA REGIONAL/GENESIS ELDERCARE LLC
Active
Organization
PENINSULA REGIONAL/GENESIS ELDERCARE LLC
Active
Other names
Salisbury Rehabilitation & Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
200 CIVIC AVE, SALISBURY, MD 21804-4599
(410) 749-1466
Mailing address
200 CIVIC AVE, SALISBURY, MD 21804-4599
(410) 749-1466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22005
MD
225X00000X
Occupational Therapist
22005
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300206300
—
MD
Enumeration date
05/18/2016
Last updated
09/13/2017
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