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General NPI Number Information
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NPI Number | 1629013925
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Entity Type | Organization
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Legal Business Name | WICOMICO NURSING HOME
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 900 BOOTH ST
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City | SALISBURY
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State | MD
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Zip | 21801-3006
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Country | US
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Telephone | 410-742-8896
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Fax | 410-742-4987
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Provider Business Mailing Address
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Address Line | PO BOX 2378
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City | SALISBURY
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State | MD
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Zip | 21802-2378
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Country | US
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Telephone | 410-742-8896
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Fax | 410-742-4987
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARY E SCHWARTZ
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Credential |
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Telephone | 410-742-8896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 22006
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 22006
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License Number State | MD
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