Organization
PENINSULA REGIONAL-GENESIS ELDERCARE LLC
Active
Other names
Salisbury Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
200 CIVIC AVE, SALISBURY, MD 21804-4599
(410) 749-1466
(410) 749-3208
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
22-005
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004621000
AMERIHEALTH
—
01
—
02B2
CAREFIRST PROV/INQ#
—
05
—
086801900
—
MD
01
—
1039162
AETNA-HMO
—
01
—
185308
AMERIGROUP
—
01
—
341382
UNITED - MAMSI
—
01
—
ML3
CAREFIRST - IND/PPO
—
Enumeration date
06/18/2006
Last updated
08/17/2018
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