Organization
NEW ANNAPOLIS NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW NEISWANGER (ADMINISTRATOR OWNER)
(301) 864-2333
Entity
Organization
Contact information
Practice address
900 VAN BUREN ST, ANNAPOLIS, MD 21403-2124
(301) 858-5810
Mailing address
900 VAN BUREN ST, ANNAPOLIS, MD 21403-2124
(301) 858-5810
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02002
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406204300
—
MD
Enumeration date
07/07/2005
Last updated
10/23/2008
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