Organization
MID-ATLANTIC OF CUMBERLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA MCADAMS (DIRECTOR OF ACCOUNTS RECEIVABLE)
(410) 923-2415
Entity
Organization
Contact information
Practice address
730 FURNACE ST, CUMBERLAND, MD 21502-1564
(301) 777-5941
Mailing address
730 FURNACE ST, CUMBERLAND, MD 21502-1564
(301) 777-5941
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416653100
—
MD
01
—
417433000
MEDICAID B CO-INSURANCE
MD
Enumeration date
04/20/2009
Last updated
09/28/2009
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