Organization
ST. ELIZABETH OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK VUCICH (MANAGING MEMBER)
(919) 439-0695
Entity
Organization
Contact information
Practice address
3320 BENSON AVE, BALTIMORE, MD 21227-1035
(667) 600-2600
Mailing address
5215 W CEDAR LN, BETHESDA, MD 20814-1548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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