MEDICARE: GLOBAL THERAPEUTIC 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
1	3140N1450X	Pediatric Skilled Nursing Facility

General Provider Information

NPI Number	:	1285055764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL THERAPEUTIC CENTER, INC

Provider Business Mailing Address
First Line	:	3042 MITCHELLVILLE RD
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716
Country	:	US
Telephone Number	:	301-249-8520
Fax Number	:

Provider Business Practice Location Address
First Line	:	3042 MITCHELLVILLE RD
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1388
Country	:	US
Telephone Number	:	301-249-8520
Fax Number	:

Authorized Official
Title or Position	:	ADMIN ASSISTANT
Name	:	NICOLA CAMEILA WHITE
Credential	:
Telephone Number	:	202-269-1481

Provider Enumeration Date	:	12/30/2013
Last Update Date	:	12/30/2013

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