Organization
MERIDIAN HEALTH, INC
Active
Other names
Long Green Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
115 E MELROSE AVE, BALTIMORE, MD 21212-2945
(410) 435-9073
(410) 435-6824
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30-044
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181371
AETNA-HMO
—
01
—
02B1
CAREFIRST PROV/INQ #
—
01
—
08950
AMERIGROUP
—
01
—
240547
UNITED - MAMSI
—
05
—
302477600
—
MD
01
—
71-00099
UNITED - EVERCARE
—
01
—
MJ4
CAREFIRST - IND/PPO
—
Enumeration date
06/12/2006
Last updated
06/21/2018
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