Organization
PIKESVILLE OPERATOR, LLC
Active
Other names
Autumn Lake Healthcare at Pikesville
Organization subpart
No
Provider details
NPI number
Authorized official
SAM STERN (CFO)
(718) 567-0400
Entity
Organization
Contact information
Practice address
7 SUDBROOK LN, PIKESVILLE, MD 21208-4118
(410) 486-8771
(410) 484-3080
Mailing address
14C 53RD ST STE 220, BROOKLYN, NY 11232-2644
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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