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Organization

LIBERTY RD RANDALLSTOWN MD OPCO LLC

Active
Other names
Patapsco Health and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
SAM STERN (CFO)
(877) 567-0402
Entity
Organization

Contact information

Practice address
9109 LIBERTY RD, RANDALLSTOWN, MD 21133-3521
(410) 655-7373
Mailing address
440 SYLVAN AVE STE 240, ENGLEWOOD CLIFFS, NJ 07632-2700

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
314000000X
Skilled Nursing Facility
Primary
385H00000X
Respite Care

Other

Enumeration date
12/11/2019
Last updated
06/04/2020
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