Organization
WESLEYAN HOME CARE, INC.
Active
Other names
Homestead Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH MIDIRI R.N. (ADMINISTRATOR / DIRECTOR OF NURSING)
(410) 479-2273
Entity
Organization
Contact information
Practice address
410 COLONIAL DR, DENTON, MD 21629-3055
(410) 479-2273
(410) 479-0180
Mailing address
410 COLONIAL DR, DENTON, MD 21629-3055
(410) 479-2273
(410) 479-0180
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
05AL026
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5510260000
—
MD
Enumeration date
08/24/2007
Last updated
08/24/2007
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