Organization
JENKINS MEMORIAL NURSING HOME INC
Active
Other names
St Elizabeth Rehab and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY RICHARDS NHA (ADMINISTRATOR)
(667) 600-2601
Entity
Organization
Contact information
Practice address
3320 BENSON AVE, BALTIMORE, MD 21227-1035
(667) 600-2600
(667) 600-4035
Mailing address
3320 BENSON AVE, BALTIMORE, MD 21227-1035
(410) 644-7100
(410) 644-2154
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30-032
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300827400
—
MD
01
—
59017401
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
08/16/2005
Last updated
01/03/2024
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