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Organization

ACADEMY MD OPCO

Active
Other names
Frederick Villa Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
JACK PANETH (AUTHORIZED OFFICIAL)
(410) 788-3300
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) 655-7373

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
02/22/2023
Last updated
09/10/2023
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