Organization
JULIA MANOR LLC
Active
Other names
Julia Manor Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICK J PERINI (MANAGING MEMBER)
(301) 745-8700
Entity
Organization
Contact information
Practice address
333 MILL ST, HAGERSTOWN, MD 21740-6473
(301) 665-8700
(301) 393-0804
Mailing address
333 MILL ST, HAGERSTOWN, MD 21740-6473
(301) 665-8700
(301) 393-0804
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
21-009
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79
BLUE CROSS/BLUE SHIELD #
MD
Enumeration date
05/15/2006
Last updated
08/22/2020
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