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NPI Code Detail

MEDICARE: PLEASANT VIEW NURSING HOME OF MT. AIRY, INC.

MEDICARE: PLEASANT VIEW NURSING HOME OF MT. AIRY, INC.
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 Facility13052MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427002559
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLEASANT VIEW NURSING HOME OF MT. AIRY, INC.
Provider Business Mailing Address
First Line : 4101 OLD NATIONAL PIKE
Second Line :
City : MOUNT AIRY
State : MD
Zip : 21771-4115
Country : US
Telephone Number : 301-829-0800
Fax Number : 410-442-4697
Provider Business Practice Location Address
First Line : 4101 OLD NATIONAL PIKE
Second Line :
City : MOUNT AIRY
State : MD
Zip : 21771-4115
Country : US
Telephone Number : 301-829-0800
Fax Number : 410-442-4697
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MS. SANDRA N. AYERS
Credential :
Telephone Number : 301-829-0800
Provider Enumeration Date : 05/22/2006
Last Update Date : 12/11/2007

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