Organization
KESWICK MULTI CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRET STINE AO (ADMINISTRATOR)
(410) 662-4293
Entity
Organization
Contact information
Practice address
700 W 40TH ST, BALTIMORE, MD 21211-2104
(410) 235-8860
Mailing address
700 W 40TH ST, BALTIMORE, MD 21211-2104
(410) 235-8860
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
MD30039
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215037
FEDERAL #
MD
Enumeration date
10/12/2005
Last updated
02/04/2020
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