Organization
NORTHWEST NURSING, LLC
Active
Other names
Northwest Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BELLONE (MANAGING MEMBER)
(410) 625-1502
Entity
Organization
Contact information
Practice address
4601 PALL MALL RD, BALTIMORE, MD 21215-6414
(410) 664-5551
(443) 573-0236
Mailing address
921 E FORT AVE, 240, BALTIMORE, MD 21230-5134
(410) 625-1502
(410) 625-7574
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4162978 00
—
MD
Enumeration date
02/25/2009
Last updated
06/17/2009
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