Organization
CITIZENS NURSING HOME BOARD OF HARFORD COUNTY
Active
Other names
CITIZENS CARE & REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER A PANOS N.H.A. (ADMINISTRATOR)
(410) 939-5500
Entity
Organization
Contact information
Practice address
415 MARKET ST, HAVRE DE GRACE, MD 21078-3301
(410) 939-5500
(410) 939-3471
Mailing address
415 MARKET ST, HAVRE DE GRACE, MD 21078-3301
(410) 939-5500
(410) 939-3471
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12003
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420390001
NSC
—
Enumeration date
05/31/2005
Last updated
08/22/2020
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