Organization
LONG VIEW NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA L MARTIN (PRESIDENT OWNER)
(410) 239-7139
Entity
Organization
Contact information
Practice address
3332 MAIN ST, POB 390, MANCHESTER, MD 21102-0390
(410) 239-7139
(410) 239-6460
Mailing address
3332 MAIN ST, POB 390, MANCHESTER, MD 21102-0390
(410) 239-7139
(410) 239-6460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-006
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59016801
BC/BS
MD
Enumeration date
07/05/2005
Last updated
11/14/2007
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