Organization
KING DAVID AT AUTUMN LAKE LLC
Active
Other names
King David Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAM STERN (CFO)
(718) 567-0400
Entity
Organization
Contact information
Practice address
4204 OLD MILFORD MILL RD, PIKESVILLE, MD 21208-6031
(410) 486-1500
Mailing address
14C 53RD ST STE 220, BROOKLYN, NY 11232-2644
(718) 567-0400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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