Organization
HOLY CROSS CARENET INC
Active
Other names
Holy Cross Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE HARRIS (CEO)
(248) 305-7688
Entity
Organization
Contact information
Practice address
3415 GREENCASTLE RD, BURTONSVILLE, MD 20866-1715
(301) 388-1400
(301) 879-4512
Mailing address
PO BOX 9184, FARMINGTON HILLS, MI 48333-9184
(248) 305-7919
(248) 305-7677
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
15-071 15633
MD
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404789300
—
MD
Enumeration date
10/11/2006
Last updated
06/26/2008
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