# WINDSOR MARYLAND GARDENS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maryland Gardens Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942550645
- **Authorized official:** LEE SAMSON (MANAGING MEMBER, WINDSOR OMG HOLDIN)
- **Authorized official phone:** (310) 385-1090

## Contact information

- **Practice address:** 31 W MARYLAND AVE, PHOENIX, AZ 85013-1227
- **Practice address phone:** (602) 265-7484
- **Practice address fax:** (602) 279-6030
- **Mailing address:** 9200 W SUNSET BLVD, WEST HOLLYWOOD, CA 90069-3502
- **Mailing address phone:** (310) 385-1076
- **Mailing address fax:** (310) 595-3736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 10/22/2012