Organization
MERCY VILLA CONVENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GREEN RSM (PRESIDENT)
(410) 377-2450
Entity
Organization
Contact information
Practice address
6806 BELLONA AVE, BALTIMORE, MD 21212-1219
(410) 377-2450
Mailing address
6806 BELLONA AVE, BALTIMORE, MD 21212-1219
(410) 377-2450
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03-070
MD
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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