Organization
MANOR CARE-ROLAND PARK MD LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Roland Park)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
4669 FALLS RD, BALTIMORE, MD 21209-4914
(410) 662-8606
(410) 662-8608
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30-013
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413521100
—
MD
Enumeration date
05/28/2006
Last updated
01/25/2022
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