Organization
MERIDIAN EDGEWOOD LP
Active
Other names
Homewood Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
6000 BELLONA AVE, BALTIMORE, MD 21212-2922
(410) 323-4223
(410) 323-6950
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4366
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30-016
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181373
AETNA-HMO
—
01
—
02AF
CAREFIRST - PROV/INQ #
—
01
—
08926
AMERIGROUP
—
01
—
241379
UNITED - MAMSI
—
05
—
512377100
—
MD
01
—
71-00097
UNITED - EVERCARE
—
01
—
7100036
UNITED HEALTH CARE
—
01
—
MK3
CAREFIRST-BLUECHOICE
—
Enumeration date
06/10/2006
Last updated
06/21/2018
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