Healthcare Provider Details

I. General information

NPI: 1598563561
Provider Name (Legal Business Name): KAYLOR FROSTBURG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 KAYLOR CIR
FROSTBURG MD
21532-2009
US

IV. Provider business mailing address

160 CHAMBERS BRIDGE RD UNIT 922
BRICK NJ
08723-2045
US

V. Phone/Fax

Practice location:
  • Phone: 301-689-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: CARRIE CLINE
Title or Position: AUTHORIZED PARTY
Credential:
Phone: 301-689-7500