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Organization

HEARTLAND HEALTH CARE CENTER ADELPHI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES R WOODBERRY JR. (ADMINISTRATOR)
(301) 434-0500
Entity
Organization

Contact information

Practice address
1801 METZEROTT RD, ADELPHI, MD 20783-5101
(301) 434-0500
(301) 434-6311
Mailing address
1801 METZEROTT RD, ADELPHI, MD 20783-5101
(301) 434-0500
(301) 434-6311

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
16012
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037538100
DC
05
413513000
MD
Enumeration date
03/28/2007
Last updated
01/07/2009
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