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Organization

MID-ATLANTIC LONG TERM CARE OF WESTERN MARYLAND, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT RIFKIN M.D. (MANAGING MEMBER)
(410) 668-3808
Entity
Organization

Contact information

Practice address
706 E ALDER ST, OAKLAND, MD 21550-3554
(301) 334-2319
(301) 334-3345
Mailing address
706 E ALDER ST, OAKLAND, MD 21550-3554
(301) 334-2319
(301) 334-3345

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11001
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020980900
DC
05
407949300
MD
Enumeration date
06/05/2006
Last updated
01/27/2009
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