Organization
HERMITAGE HEALTHCARE OF MANOKIN MANOR, LLC
Active
Other names
Manokin Manor Nursing & Rehab Ctr.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE C. STONE LICENSED ADMINISTRAT (ADMINISTRATOR)
(410) 651-0011
Entity
Organization
Contact information
Practice address
11974 EDGEHILL TERRACE RD, PRINCESS ANNE, MD 21853-2105
(410) 651-0011
(410) 543-4471
Mailing address
11974 EDGEHILL TERRACE RD, PRINCESS ANNE, MD 21853-2105
(410) 651-0011
(410) 543-4471
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19002
—
MD
Enumeration date
08/09/2006
Last updated
08/22/2020
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