Healthcare Provider Details

I. General information

NPI: 1215930003
Provider Name (Legal Business Name): COLLINGSWOOD NURSING FACILITIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 HURLEY AVE
ROCKVILLE MD
20850-3118
US

IV. Provider business mailing address

299 HURLEY AVE
ROCKVILLE MD
20850-3118
US

V. Phone/Fax

Practice location:
  • Phone: 301-762-8900
  • Fax: 301-762-8020
Mailing address:
  • Phone: 301-762-8900
  • Fax: 301-762-8020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. LEAH T WHETZEL
Title or Position: ADMINISTRATOR
Credential:
Phone: 301-762-8900