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Organization

SENIOR LIFE CHOICE OF SALISBURY, L.L.C.

Active
Other names
Lakeside Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ARLENE SPACK (EXECUTIVE DIRECTOR)
(410) 749-4480
Entity
Organization

Contact information

Practice address
1109 S SCHUMAKER DR, SALISBURY, MD 21804-9256
(410) 749-4480
(410) 546-9710
Mailing address
1109 S SCHUMAKER DR, SALISBURY, MD 21804-9256
(410) 749-4480
(410) 546-9710

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
22AL019
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9783677500
MD
Enumeration date
07/20/2007
Last updated
07/20/2007
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