Organization
THI OF MARYLAND AT NORTHWEST LLC
Active
Other names
Northwest Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BOX (EVP)
(410) 773-1000
Entity
Organization
Contact information
Practice address
4601 PALL MALL RD, BALTIMORE, MD 21215-6414
(410) 664-5551
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30-033
MD
Other
Enumeration date
06/04/2006
Last updated
09/21/2007
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