Organization
HAVEN NURSING HOME, INC
Active
Other names
Brinton Woods of Arlington West
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAREN CORTESE (PRESIDENT)
(410) 560-4925
Entity
Organization
Contact information
Practice address
3939 PENHURST AVE, BALTIMORE, MD 21215-5632
(410) 664-9535
Mailing address
3939 PENHURST AVE, BALTIMORE, MD 21215-5632
(410) 664-9535
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30074
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417216700
—
MD
Enumeration date
05/27/2016
Last updated
05/27/2016
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