Organization
HCR MANORCARE TOWSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN A SMITH (NURSING HOME ADMINISTRATOR)
(410) 828-9494
Entity
Organization
Contact information
Practice address
509 E JOPPA RD, TOWSON, MD 21286-5404
(410) 828-9494
(410) 828-9180
Mailing address
509 E JOPPA RD, TOWSON, MD 21286-5404
(410) 828-9494
(410) 828-9180
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03-022
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216648
KAISER PERMANENTE PROV#
MD
01
—
C 215054
UNITED AMERICAN PROVIDER
MD
01
—
PW4
BC FEDERAL PROVIDER #
MD
Enumeration date
01/17/2007
Last updated
08/22/2020
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