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Organization

613 HAMMONDS LANE OPERATIONS LLC

Active
Other names
Hammonds Lane Center
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization

Contact information

Practice address
613 HAMMONDS LN, BROOKLYN PARK, MD 21225-3351
(410) 636-3400
(410) 636-1250
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02-009
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
413985200
MD
Enumeration date
11/27/2007
Last updated
01/08/2016
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