Organization
HOMEWOOD LIVING WILLIAMSPORT, INC.
Active
Other names
Homewood at Williamsport MD, Inc., Homewood at Williamsport
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUSTY L. MITCHELL (SITE DIRECTOR)
(301) 582-1628
Entity
Organization
Contact information
Practice address
16505 VIRGINIA AVE, WILLIAMSPORT, MD 21795-1321
(301) 582-1628
(301) 582-1815
Mailing address
16505 VIRGINIA AVE, WILLIAMSPORT, MD 21795-1321
(301) 582-1628
(301) 582-1815
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
21008
MD
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217447200
—
MD
01
—
21D0649913
CLIA
MD
Enumeration date
06/22/2005
Last updated
01/29/2026
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