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NPI Code Detail

MEDICARE: CAROLINE NURSING HOME, INC

MEDICARE: CAROLINE NURSING HOME, 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 Facility05-001MD

General Provider Information

NPI Number : 1821080805
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINE NURSING HOME, INC
Provider Business Mailing Address
First Line : 520 KERR AVE
Second Line :
City : DENTON
State : MD
Zip : 21629-1343
Country : US
Telephone Number : 410-479-2130
Fax Number : 410-479-3057
Provider Business Practice Location Address
First Line : 520 KERR AVE
Second Line :
City : DENTON
State : MD
Zip : 21629-1343
Country : US
Telephone Number : 410-479-2130
Fax Number : 410-479-3057
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. NORMA L. SCHULTZ
Credential : NHA
Telephone Number : 410-479-2130
Provider Enumeration Date : 08/17/2005
Last Update Date : 08/22/2020

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Directions to “CAROLINE NURSING HOME, INC ” Practice Location

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