Healthcare Provider Details

I. General information

NPI: 1083692099
Provider Name (Legal Business Name): CHOICE COMMUNITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

S 1046 NORTH POINT RD
BALTIMORE MD
21224
US

IV. Provider business mailing address

S 1046 NORTH POINT RD
BALTIMORE MD
21224
US

V. Phone/Fax

Practice location:
  • Phone: 410-282-0100
  • Fax: 410-284-5693
Mailing address:
  • Phone: 410-282-0100
  • Fax: 410-284-5693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. GAIL GLASS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 540-265-0322