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NPI Code Detail

MEDICARE: SILVER SPRING MD OPCO LLC

MEDICARE: SILVER SPRING MD OPCO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1385H00000XRespite Care
2314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1003460502
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILVER SPRING MD OPCO LLC
Provider Business Mailing Address
First Line : 440 SYLVAN AVE STE 240
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-2700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2015 E WEST HWY
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-2602
Country : US
Telephone Number : 703-650-1000
Fax Number :
Authorized Official
Title or Position : VP OF ADMIN SERVICES
Name : BATYA GORELICK
Credential :
Telephone Number : 301-587-2400
Provider Enumeration Date : 08/01/2019
Last Update Date : 08/20/2019

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Directions to “SILVER SPRING MD OPCO LLC ” Practice Location

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