Organization
TAYLOR FARM ASSISTED LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHARON MARIE NICHOLSON LPN, CDP, WCC (NURSE ADMINISTRATOR)
(301) 769-3702
Entity
Organization
Contact information
Practice address
21730 OSCAR HAYDEN RD, BUSHWOOD, MD 20618-2408
(301) 769-3702
(301) 769-3429
Mailing address
21730 OSCAR HAYDEN RD, BUSHWOOD, MD 20618-2408
(301) 769-3702
(301) 769-3429
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
18AL0012E
MD
310400000X
Assisted Living Facility
Primary
18AL0013-E
MD
310400000X
Assisted Living Facility
18AL0015D
MD
310400000X
Assisted Living Facility
18AL0016-C
MD
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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