Organization
CHESTERTOWN OPERATOR LLC
Active
Other names
Autumn Lake Healthcare At Chestertown
Organization subpart
No
Provider details
NPI number
Authorized official
SAM STERN (CFO)
(877) 567-0402
Entity
Organization
Contact information
Practice address
415 MORGNEC RD, CHESTERTOWN, MD 21620-1046
(410) 778-1900
Mailing address
14C 53RD ST STE 224N, BROOKLYN, NY 11232-2644
(718) 567-0400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
14006
MD
385H00000X
Respite Care
—
—
Other
Enumeration date
07/10/2014
Last updated
10/22/2018
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