Organization
MILFORD MANOR CORPORATION
Active
Other names
Milford Manor Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY D RAFFEL (CEO)
(410) 415-5700
Entity
Organization
Contact information
Practice address
4204 OLD MILFORD MILL RD, PIKESVILLE, MD 21208-6031
(410) 486-1500
(410) 653-5530
Mailing address
4204 OLD MILFORD MILL RD, PIKESVILLE, MD 21208-6031
(410) 486-1500
(410) 653-5530
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03-024
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21-5022
—
MD
Enumeration date
10/31/2005
Last updated
08/03/2007
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