Organization
CRESCENT CITIES SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL BIRNBAUM (AUTHORIZED REP)
(732) 905-6440
Entity
Organization
Contact information
Practice address
4409 E WEST HWY, RIVERDALE, MD 20737-1058
(301) 699-2000
Mailing address
4409 E WEST HWY, RIVERDALE, MD 20737-1058
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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