Organization
HAGERSTOWN DUAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAM MCGAVOCK (PRESIDENT)
(410) 773-1000
Entity
Organization
Contact information
Practice address
750 DUAL HWY, HAGERSTOWN, MD 21740-5909
(301) 797-4020
(301) 797-2956
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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