Organization
MERIDIAN VALLEY VIEW LP
Active
Other names
Loch Raven Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
8720 EMGE RD, BALTIMORE, MD 21234-3504
(410) 668-1961
(410) 882-3114
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03-044
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181363
AETNA-HMO
—
01
—
02AG
CAREFIRST PROV/INQ#
—
05
—
037307900
—
MD
01
—
08949
AMERIGROUP
—
01
—
245130
UNITED - MAMSI
—
01
—
71-00098
UNITED - EVERCARE
—
01
—
MK8
CAREFIRST BLUE CHOICE
—
Enumeration date
06/12/2006
Last updated
06/21/2018
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