Organization
SCOTLAND MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LARAE RENETTE WILSON (BILLING SUPERVISOR)
(443) 205-7422
Entity
Organization
Contact information
Practice address
2900 BOARMAN AVE, BALTIMORE, MD 21215-6610
(443) 205-7422
(410) 366-2108
Mailing address
2900 BOARMAN AVE, BALTIMORE, MD 21215-6610
(443) 205-7422
(410) 366-2108
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30AL2686-B
MD
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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