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NPI Code Detail

MEDICARE: FAIRLAND ADVENTIST NURSING & REHABILITATION CENTER INC

MEDICARE: FAIRLAND ADVENTIST NURSING & REHABILITATION CENTER INC
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 FacilityMD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134126303
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAIRLAND ADVENTIST NURSING & REHABILITATION CENTER INC
Provider Business Mailing Address
First Line : 2101 FAIRLAND RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5427
Country : US
Telephone Number : 301-384-6161
Fax Number : 301-384-1099
Provider Business Practice Location Address
First Line : 2101 FAIRLAND RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5427
Country : US
Telephone Number : 301-384-6161
Fax Number : 301-384-1099
Authorized Official
Title or Position : DIRECTOR, CENTRAL BUSINESS OFFICE
Name : RICHARD A MARIZAN
Credential :
Telephone Number : 301-315-3272
Provider Enumeration Date : 07/04/2005
Last Update Date : 01/26/2010

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