Organization
205 ARMSTRONG AVENUE OPERATIONS LLC
Active
Other names
Corsica Hills Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
205 ARMSTRONG ST, CENTREVILLE, MD 21617-2125
(410) 758-2323
(410) 758-4755
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
17-001
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413984400
—
MD
Enumeration date
11/27/2007
Last updated
01/08/2016
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