Healthcare Provider Details

I. General information

NPI: 1598759854
Provider Name (Legal Business Name): SNOW HILL NURSING AND REHAB CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 09/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 W MARKET ST
SNOW HILL MD
21863-1127
US

IV. Provider business mailing address

430 W MARKET ST
SNOW HILL MD
21863-1127
US

V. Phone/Fax

Practice location:
  • Phone: 410-632-3755
  • Fax: 410-632-3708
Mailing address:
  • Phone: 410-632-3755
  • Fax: 410-632-3708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number23003
License Number StateMD

VIII. Authorized Official

Name: MR. CHRIS RICHETTI
Title or Position: CFO
Credential:
Phone: 610-383-4225