Organization
LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC
Active
Other names
LEVINDALE PHYSICIANS GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LEVY M.D. (MEDICAL DIRECTOR)
(410) 601-2246
Entity
Organization
Contact information
Practice address
2434 W BELVEDERE AVE, BALTIMORE, MD 21215-5202
(410) 547-8500
Mailing address
2434 W BELVEDERE AVE, BALTIMORE, MD 21215-5202
(410) 547-8500
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
30088
MD
314000000X
Skilled Nursing Facility
8204
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900591900
—
MD
01
—
CE3212
R/R MEDICARE
MD
Enumeration date
01/08/2007
Last updated
08/19/2009
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