Organization
POTOMAC OPERATOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORUCH MERMELSTEIN (OWNER)
(301) 299-2273
Entity
Organization
Contact information
Practice address
10714 POTOMAC TENNIS LN, POTOMAC, MD 20854-4418
(301) 299-2273
Mailing address
10714 POTOMAC TENNIS LN, POTOMAC, MD 20854-4418
(301) 299-2273
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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