Organization
FREDERICK VILLA INVESTMENTS & ASSOCIATES, LLC
Active
Other names
Frederick Villa Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P. O'BRIEN JR. (CHIEF MANAGER)
(423) 308-1845
Entity
Organization
Contact information
Practice address
711 ACADEMY RD, CATONSVILLE, MD 21228-1802
(410) 788-3300
Mailing address
711 ACADEMY RD, CATONSVILLE, MD 21228-1802
(410) 788-3300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
783
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122627400
—
MD
Enumeration date
10/31/2005
Last updated
12/18/2012
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