Organization
KING DAVID AT AUTUMN LAKE LLC
Active
Other names
King David Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARYEH STERN (MANAGING MEMBER)
(732) 358-6883
Entity
Organization
Contact information
Practice address
4204 OLD MILFORD MILL RD, BALTIMORE, MD 21208-6031
(410) 486-1500
Mailing address
4204 OLD MILFORD MILL RD, BALTIMORE, MD 21208-6031
(410) 486-1500
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03024
MD
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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