Organization
GENESIS SPA CREEK CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN ELIZABETH RAINES MSCCC-SLP (SPEECH PATHOLOGIST)
(410) 562-0754
Entity
Organization
Contact information
Practice address
35 MILKSHAKE LN, ANNAPOLIS, MD 21403-1507
(410) 269-5100
Mailing address
1108 CATTAIL COMMONS WAY, DENTON, MD 21629-3015
(410) 562-0754
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
05390
MD
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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