Organization
THI OF MARYLAND AT SOUTH RIVER LLC
Active
Other names
South River Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BOX (EVP)
(410) 773-1000
Entity
Organization
Contact information
Practice address
144 WASHINGTON RD, EDGEWATER, MD 21037-1412
(410) 956-5000
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02-013
MD
Other
Enumeration date
06/04/2006
Last updated
09/21/2007
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