Organization
MID-ATLANTIC OF FAIRFIELD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MCADAMS (DIRECTOR OF AR)
(410) 923-2415
Entity
Organization
Contact information
Practice address
1454 FAIRFIELD LOOP RD, CROWNSVILLE, MD 21032-2006
(410) 923-6820
(410) 923-2416
Mailing address
1454 FAIRFIELD LOOP RD, CROWNSVILLE, MD 21032-2006
(410) 923-6820
(410) 923-2416
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02008
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
556234100
—
MD
Enumeration date
02/08/2017
Last updated
02/08/2017
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