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NPI Code Detail

MEDICARE: MH ADELPHI OPERATING, LLC

MEDICARE: MH ADELPHI OPERATING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1083223424
Entity Type Code : Organization
Provider Name (Legal Business Name) : MH ADELPHI OPERATING, LLC
Provider Business Mailing Address
First Line : 3210 POWDER MILL RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-1029
Country : US
Telephone Number : 301-937-3939
Fax Number : 301-937-8798
Provider Business Practice Location Address
First Line : 3210 POWDER MILL RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-1029
Country : US
Telephone Number : 301-937-3939
Fax Number : 301-937-8798
Authorized Official
Title or Position : REIMBURSEMENT ANALYST
Name : MR. HENRY J VAUGHN
Credential :
Telephone Number : 240-595-6025
Provider Enumeration Date : 07/30/2020
Last Update Date : 07/30/2020

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Directions to “MH ADELPHI OPERATING, LLC ” Practice Location

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