Organization
2101 FAIRLAND ROAD OPERATIONS LLC
Active
Other names
Fairland Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
2101 FAIRLAND RD, SILVER SPRING, MD 20904-5427
(301) 384-6161
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 347-4099
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
15-012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151027400
—
MD
05
—
553206000
—
MD
Enumeration date
09/22/2010
Last updated
08/29/2019
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