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NPI Code Detail

MEDICARE: HYATTSVILLE NURSING AND REHABILITATION CENTER LLC

MEDICARE: HYATTSVILLE NURSING AND REHABILITATION CENTER 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1093348179
Entity Type Code : Organization
Provider Name (Legal Business Name) : HYATTSVILLE NURSING AND REHABILITATION CENTER LLC
Provider Business Mailing Address
First Line : 6500 RIGGS RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3056
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6500 RIGGS RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3056
Country : US
Telephone Number : 301-559-0300
Fax Number :
Authorized Official
Title or Position : AUTHORIZED REP
Name : ISRAEL BIRNBAUM
Credential :
Telephone Number : 718-650-0219
Provider Enumeration Date : 02/18/2020
Last Update Date : 02/18/2020

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Directions to “HYATTSVILLE NURSING AND REHABILITATION CENTER LLC ” Practice Location

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