Organization
19301 WATKINS MILL ROAD OPERATING COMPANY, LLC
Active
Other names
Montgomery Village Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A. ALBERTO LUGO (EXECUTIVE VP & GENERAL COUNSEL)
(201) 242-4000
Entity
Organization
Contact information
Practice address
19301 WATKINS MILL RD., MONTGOMERY VILLAGE, MD 20886
(301) 527-2500
(301) 527-2525
Mailing address
19301 WATKINS MILL RD., MONTGOMERY VILLAGE, MD 20886
(301) 527-2500
(301) 527-2525
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402642000
—
MD
Enumeration date
07/14/2005
Last updated
08/13/2015
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