Organization
COURTLAND GARDENS NURSING AND REHABILITATION CENTER, INC.
Active
Other names
Jewish Convalescent and Nursing Home Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEVELAND SMITH (ASSIT DIRECTOR PATIENT ACCOUNTS)
(410) 601-2935
Entity
Organization
Contact information
Practice address
7920 SCOTTS LEVEL RD, BALTIMORE, MD 21208-2629
(410) 521-3600
Mailing address
7920 SCOTTS LEVEL RD, BALTIMORE, MD 21208-2629
(410) 601-2935
(410) 601-2925
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03055
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02VJ
MD BLUE CROSS PROVIDER
MD
05
—
032677100
—
MD
01
—
HW7
FEDERAL BLUE CROSS PROVID
MD
Enumeration date
01/25/2006
Last updated
11/17/2011
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