Organization
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Active
Parent organization
STATE OF MARYLAND
Other names
Western Maryland
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MARYLAND
Authorized official
MOSES ERIAKHA (ACCOUNTANT)
(410) 767-6003
Entity
Organization
Contact information
Practice address
201 W PRESTON ST, 5TH FLOOR, BALTIMORE, MD 21201-2301
(410) 767-6062
Mailing address
201 W PRESTON ST, 5TH FLOOR, BALTIMORE, MD 21201-2301
(410) 767-6062
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
350027600
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350027600
SKILLED NURSING FACILITY
MD
05
—
352525200
—
MD
Enumeration date
12/29/2011
Last updated
12/29/2011
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