Organization
WILLIAMSPORT OPERATOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BERRY (AUTHORIZED OFFICIAL)
(301) 992-7223
Entity
Organization
Contact information
Practice address
154 N ARTIZAN ST, WILLIAMSPORT, MD 21795-1104
(301) 582-1711
Mailing address
154 N ARTIZAN ST, WILLIAMSPORT, MD 21795-1104
(301) 582-1711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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