Organization
MID ATLANTIC LONG TERM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD FRINER (COO)
(410) 828-6093
Entity
Organization
Contact information
Practice address
1220A E JOPPA RD, STE 230, TOWSON, MD 21286-5812
(410) 828-6093
(443) 279-0825
Mailing address
1220A E JOPPA RD, STE 230, TOWSON, MD 21286-5812
(410) 828-6093
(443) 279-0825
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3728505
—
TN
01
—
DE4514
MEDICARE RAILROAD
TN
Enumeration date
07/31/2006
Last updated
07/21/2022
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