Organization
SUPPLEMENTAL HEALTH
Active
Other names
Levindale
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA PATE (OCCUPAITONAL THERAPIST)
(410) 801-5816
Entity
Organization
Contact information
Practice address
1292 LIMIT AVE, IDLEWYLDE, MD 21239-1747
(443) 801-5816
(866) 566-5311
Mailing address
9891 COLUMBIA LANE PKWY, COLUMBIA, DC 21046
(301) 362-0114
(866) 566-5311
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05863
MD
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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