Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE PRICE (PROGRAM MANAGER)
(410) 350-8514
Entity
Organization
Contact information
Practice address
613 HAMMONDS LN, BROOKLYN PARK, MD 21225-3351
(410) 350-8514
Mailing address
613 HAMMONDS LN, BROOKLYN PARK, MD 21225-3351
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
225200000X
MD
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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