Healthcare Provider Details

I. General information

NPI: 1447749395
Provider Name (Legal Business Name): LAYHILL SNF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 05/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3227 BEL PRE RD
SILVER SPRING MD
20906-2423
US

IV. Provider business mailing address

3227 BEL PRE RD
SILVER SPRING MD
20906-2423
US

V. Phone/Fax

Practice location:
  • Phone: 301-871-2031
  • 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: ISRAEL BIRNBAUM
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 732-905-6440