Organization
GOOD SAMARITAN NURSING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA L STOUT (VP FINANCE)
(443) 444-3841
Entity
Organization
Contact information
Practice address
1601 E BELVEDERE AVE, BALTIMORE, MD 21239-3004
(410) 532-5600
(410) 532-8141
Mailing address
1601 E BELVEDERE AVE, BALTIMORE, MD 21239-3004
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30051
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302437700
—
MD
Enumeration date
05/20/2006
Last updated
10/09/2015
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