Organization
JOINT RETIREMENT CONVENT INC
Active
Other names
THE VILLA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL A ZAICKO (ADMINISTRATOR)
(410) 377-2450
Entity
Organization
Contact information
Practice address
6806 BELLONA AVENUE, BALTIMORE, MD 21212-1299
(410) 377-2450
(410) 377-2501
Mailing address
6806 BELLONA AVENUE, BALTIMORE, MD 21212-1299
(410) 377-2450
(410) 377-2501
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
03-070
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510090900
—
MD
05
—
981503100
—
MD
Enumeration date
12/28/2005
Last updated
10/11/2010
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