Organization
MID-ATLANTIC OF CHAPEL HILL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT RIFKIN M.D. (CEO)
(410) 308-2300
Entity
Organization
Contact information
Practice address
4511 ROBOSSON RD, RANDALLSTOWN, MD 21133-1018
(410) 922-2443
(410) 922-4822
Mailing address
4511 ROBOSSON RD, RANDALLSTOWN, MD 21133-1018
(410) 922-2443
(410) 922-4822
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03009
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414969600
—
MD
Enumeration date
06/02/2008
Last updated
10/24/2008
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