Organization
PERINI SERVICES DEVLIN MANOR LIMITED PARTNERSHIP
Active
Other names
Devlin Manor Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P PERINI (VICE PRESIDENT)
(301) 745-8700
Entity
Organization
Contact information
Practice address
10301 CHRISTIE RD NE, CUMBERLAND, MD 21502-8326
(301) 724-1400
(301) 724-0167
Mailing address
1710 UNDERPASS WAY, SUITE 201, HAGERSTOWN, MD 21740-6924
(301) 745-8700
(301) 790-3094
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
01-015
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02FW
CAREFIRST - PROV/INQ#
—
01
—
2133398
UNITED - MAMSI
—
01
—
278464
AMERIGROUP
—
01
—
5179670
AETNA-HMO
—
01
—
6179747
CIGNA-MID-ATLANTIC
—
01
—
RT1
CAREFIRST-BLUECHOICE
—
Enumeration date
05/26/2006
Last updated
08/22/2020
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