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Organization

MERIDIAN VALLEY LP

Active
Other names
Cromwell Center
Organization subpart
No

Provider details

NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization

Contact information

Practice address
8710 EMGE RD, BALTIMORE, MD 21234-3504
(410) 661-5955
(410) 661-6745
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03-056
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0181367
AETNA-HMO
01
02AE
CAREFIRST - PROV/INQ#
05
035337000
MD
01
08841
AMERIGROUP
01
245128
UNITED - MAMSI
01
71-00171
UNITED - EVERCARE
01
MK1
CAREFIRST BLUECHOICE
01
MKI
CAREFIRST - IND/PPO
Enumeration date
05/25/2006
Last updated
06/21/2018
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