Organization
SSC GLEN BURNIE OPERATING COMPANY LLC
Active
Other names
Glen Burnie Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
7355 E FURNACE BRANCH RD, GLEN BURNIE, MD 21060-7060
(410) 766-3460
(410) 761-5188
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02-016
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406159400
—
MD
01
—
407314200
PART B ONLY
MD
Enumeration date
04/02/2007
Last updated
11/16/2020
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