Organization
SEVERNA PARK CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MUELLER PHR (HR ASSOCIATE)
(610) 925-4148
Entity
Organization
Contact information
Practice address
8671 SCORTON HARBOUR, PASADENA, MD 21122-6513
(410) 360-2719
Mailing address
8671 SCORTON HARBOUR, PASADENA, MD 21122-6513
(410) 360-2719
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A01790
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245037
NBCOT
—
01
—
A01790
COTA/L
MD
Enumeration date
11/02/2011
Last updated
11/02/2011
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