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NPI Code Detail

MEDICARE: FAIRFIELD NURSING CENTER

MEDICARE: FAIRFIELD NURSING CENTER
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 Facility02-008MD

General Provider Information

NPI Number : 1154357283
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAIRFIELD NURSING CENTER
Provider Business Mailing Address
First Line : 1454 FAIRFIELD LOOP RD
Second Line :
City : CROWNSVILLE
State : MD
Zip : 21032-2006
Country : US
Telephone Number : 410-923-6820
Fax Number : 410-987-9157
Provider Business Practice Location Address
First Line : 1454 FAIRFIELD LOOP RD
Second Line :
City : CROWNSVILLE
State : MD
Zip : 21032-2006
Country : US
Telephone Number : 410-923-6820
Fax Number : 410-987-9157
Authorized Official
Title or Position : ADMINISTRATOR
Name : LEANNA LENNOX
Credential : NHA
Telephone Number : 410-923-6820
Provider Enumeration Date : 06/23/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
1454 FAIRFIELD LOOP RD
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Practice Fax:
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Practice Fax: 410-923-2783
1336264571 — SUSAN C WILKINSON OTR
Practice Location Address:
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CROWNSVILLE, MD
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Practice Fax:
1184810905 — DR. LAKSHMI ISANAKA CHILLAKURU M.D
Practice Location Address:
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Practice Fax:
1649725797 — CROWNSVILLE HEALTH CARE LLC
Practice Location Address:
1454 FAIRFIELD LOOP RD
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Practice Fax: 410-987-9157

Directions to “FAIRFIELD NURSING CENTER ” Practice Location

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