Organization
DENTON OPERATOR, LLC
Active
Other names
Autumn Lake Healthcare at Denton
Organization subpart
No
Provider details
NPI number
Authorized official
SAM STERN (CFO)
(718) 567-0400
Entity
Organization
Contact information
Practice address
420 COLONIAL DR, DENTON, MD 21629-3055
(410) 479-4400
Mailing address
14C 53RD ST, BROOKLYN, NY 11232-2644
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MD
385H00000X
Respite Care
—
MD
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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