Organization
CHARLESTON GROVE, LLC
Active
Other names
The Charleston Senior Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK GOFF (EXECUTIVE DIRECTOR)
(240) 270-7500
Entity
Organization
Contact information
Practice address
45 SAINT PATRICKS DR, WALDORF, MD 20603-4507
(240) 270-7500
(240) 523-7410
Mailing address
45 SAINT PATRICKS DR, WALDORF, MD 20603-4507
(240) 270-7500
(240) 523-7410
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
08AL0144-A
MD
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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