Organization
FAHRNEY-KEEDY MEMORIAL HOME, INC
Active
Other names
Coffman Nursing Home by Fahrney-Keedy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN COETZEE LNHA (PRESIDENT/CEO)
(301) 671-5017
Entity
Organization
Contact information
Practice address
1304 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3108
(301) 733-2914
(301) 733-2078
Mailing address
1304 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3108
(301) 733-2914
(301) 733-2078
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
21-004
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417162400
—
MD
Enumeration date
10/08/2009
Last updated
03/03/2023
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