Organization
CARROLL MD OPCO LLC
Active
Other names
Copper Ridge Nursing and Assisted Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE MAYER (MANAGER)
(718) 614-8341
Entity
Organization
Contact information
Practice address
710 OBRECHT RD, SYKESVILLE, MD 21784-7650
(410) 795-8808
Mailing address
710 OBRECHT RD, SYKESVILLE, MD 21784-7650
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/06/2024
Last updated
03/18/2024
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