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Organization

BRIGHTVIEW SEVERNA PARK, LLC

Active
Other names
Brightview Severna Park
Organization subpart
No

Provider details

NPI number
Authorized official
DOUG DOLLENBERG JR. (PRESIDENT)
(410) 962-0595
Entity
Organization

Contact information

Practice address
469 JUMPERS HOLE ROAD, SEVERNA PARK, MD 21146
(410) 544-1605
(410) 544-1606
Mailing address
469 JUMPERS HOLE ROAD, SEVERNA PARK, MD 21146
(410) 544-1605
(410) 544-1606

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
311500000X
Alzheimer Center (Dementia Center)

Other

Enumeration date
06/15/2016
Last updated
11/16/2021
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