Organization
FREDERICK VILLA NURSING & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GOLDSMITH (ADMINISTRATOR)
(410) 788-3300
Entity
Organization
Contact information
Practice address
711 ACADEMY RD, BALTIMORE, MD 21228-1802
(410) 788-3300
(410) 788-6598
Mailing address
711 ACADEMY RD, BALTIMORE, MD 21228-1802
(410) 788-3300
(410) 788-6598
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MD
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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