Organization
BRADDOCK HEIGHTS HEALTHCARE, LLC
Active
Other names
Vindobona Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG TAYLOR (CHIEF MANAGER)
(423) 308-1845
Entity
Organization
Contact information
Practice address
6012 JEFFERSON BLVD, FREDERICK, MD 21703-6953
(301) 371-7160
(301) 371-5921
Mailing address
7201 SHALLOWFORD RD, SUITE 200, CHATTANOOGA, TN 37421-2780
(423) 308-1845
(423) 308-1848
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10-005
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4215885 00
—
MD
Enumeration date
02/12/2013
Last updated
08/12/2013
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