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Organization
RANDALLSTOWN HEALTH CARE LLC
Active
Organization
RANDALLSTOWN HEALTH CARE LLC
Active
Other names
Chapel Hill Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GOEDEKE (PRESIDENT)
(410) 922-2443
Entity
Organization
Contact information
Practice address
4511 ROBOSSON RD, RANDALLSTOWN, MD 21133-1018
(410) 922-2443
Mailing address
4511 ROBOSSON RD, RANDALLSTOWN, MD 21133-1018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600112200
—
MD
Enumeration date
03/02/2017
Last updated
03/02/2017
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