Healthcare Provider Details

I. General information

NPI: 1467817908
Provider Name (Legal Business Name): ADVENTIST REHABILITATION HOSPITAL OF MARYLAND, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2015
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11886 HEALING WAY STE 306
SILVER SPRING MD
20904-7917
US

IV. Provider business mailing address

820 W DIAMOND AVE SUITE 500
GAITHERSBURG MD
20878-1419
US

V. Phone/Fax

Practice location:
  • Phone: 240-637-6040
  • Fax:
Mailing address:
  • Phone: 301-315-3176
  • Fax: 301-315-3728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES LEE
Title or Position: SECRETARY & TREASURER
Credential:
Phone: 301-315-3030