Organization
ASBURY ATLANTIC, INC
Active
Other names
Herman M. Wilson Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DENTON NHA (EXECUTIVE DIRECTOR)
(301) 216-4021
Entity
Organization
Contact information
Practice address
301 RUSSELL AVE, GAITHERSBURG, MD 20877-2805
(301) 216-4222
(301) 216-5752
Mailing address
301 RUSSELL AVE, GAITHERSBURG, MD 20877-2805
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
15-022
MD
Other
Enumeration date
11/29/2005
Last updated
01/28/2008
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