Healthcare Provider Details

I. General information

NPI: 1497742571
Provider Name (Legal Business Name): FRIENDS HOUSE RETIREMENT COMMUNITY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 02/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17401 NORWOOD RD
SANDY SPRING MD
20860-1236
US

IV. Provider business mailing address

17340 QUAKER LN
SANDY SPRING MD
20860-1247
US

V. Phone/Fax

Practice location:
  • Phone: 301-924-4900
  • Fax: 301-924-1410
Mailing address:
  • Phone: 301-924-4900
  • Fax: 301-924-1410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number15013
License Number StateMD

VIII. Authorized Official

Name: KEVIN HARRINGTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 301-924-7535