Organization
FIVE STAR ELLICOTT CITY LLC
Active
Parent organization
FIVE STAR ELLICOTT CITY LLC
Other names
Heartlands at Ellicott City
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR ELLICOTT CITY LLC
Authorized official
BRUCE J MACKEY JR. (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8214
Entity
Organization
Contact information
Practice address
3004 N RIDGE RD, ELLICOTT CITY, MD 21043-3381
(410) 461-9494
(410) 461-8233
Mailing address
400 CENTRE ST, NEWTON, MA 02458-2094
(617) 796-8387
(617) 796-8385
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13AL166
MD
Other
Enumeration date
06/17/2006
Last updated
06/27/2016
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