Organization
BROOKE GROVE FOUNDATION, INC.
Active
Other names
Brooke Grove Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH SPILLANE (DIR. CORP. FINANCE)
(301) 388-7204
Entity
Organization
Contact information
Practice address
18131 SLADE SCHOOL RD, SANDY SPRING, MD 20860-1346
(301) 924-5176
Mailing address
18100 SLADE SCHOOL RD, SANDY SPRING, MD 20860-1313
(301) 924-5176
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
15-005
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15516710000
—
MD
Enumeration date
05/10/2007
Last updated
01/11/2024
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