Organization
SHADY GROVE ADVENTIST NURSING & REHABILITATION CENTER INC
Active
Other names
SHADY GROVE NURSING AND REBAH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A MARIZAN (DIRECTOR, CENTRAL BUSINESS OFFICE)
(301) 315-3272
Entity
Organization
Contact information
Practice address
9701 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3326
(301) 315-1900
(301) 315-1901
Mailing address
9701 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3326
(301) 315-1900
(301) 315-1901
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158057400
—
MD
05
—
403480500
—
MD
Enumeration date
07/04/2005
Last updated
01/26/2010
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