Organization
XAVIER-KENSINGTON,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEE DESAI (ADMINISTRATOR)
(301) 933-0060
Entity
Organization
Contact information
Practice address
3000 MCCOMAS AVE, KENSINGTON, MD 20895-2316
(301) 933-0060
(301) 933-4884
Mailing address
3000 MCCOMAS AVE, KENSINGTON, MD 20895-2316
(301) 933-0060
(301) 933-4884
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
15-017
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7100628
EVERCARE
MD
Enumeration date
07/28/2005
Last updated
08/22/2020
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