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NPI Code Detail

MEDICARE: HARTLEY HALL ADULT MEDICAL DAY CARE, INC

MEDICARE: HARTLEY HALL ADULT MEDICAL DAY CARE, 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
1261QA0600XAdult Day Care Clinic/CenterMD

General Provider Information

NPI Number : 1518130988
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARTLEY HALL ADULT MEDICAL DAY CARE, INC
Provider Business Mailing Address
First Line : 1006 MARKET ST
Second Line :
City : POCOMOKE CITY
State : MD
Zip : 21851-1206
Country : US
Telephone Number : 410-957-2252
Fax Number :
Provider Business Practice Location Address
First Line : 1006 MARKET ST
Second Line :
City : POCOMOKE CITY
State : MD
Zip : 21851-1206
Country : US
Telephone Number : 410-957-2252
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. REBECCA SUTTON
Credential :
Telephone Number : 410-957-2252
Provider Enumeration Date : 04/08/2008
Last Update Date : 07/21/2022

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