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NPI Code Detail

MEDICARE: SAINT LUKE INSTITUTE, INC.

MEDICARE: SAINT LUKE INSTITUTE, 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
1323P00000XPsychiatric Residential Treatment Facility16-027MD

General Provider Information

NPI Number : 1740551811
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT LUKE INSTITUTE, INC.
Provider Business Mailing Address
First Line : 8901 NEW HAMPSHIRE AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20903-3611
Country : US
Telephone Number : 301-445-7970
Fax Number : 301-422-5592
Provider Business Practice Location Address
First Line : 8901 NEW HAMPSHIRE AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20903-3611
Country : US
Telephone Number : 301-445-7970
Fax Number : 301-422-5592
Authorized Official
Title or Position : CHIEF OPERATING OFFICE
Name : DR. SHEILA M HARRON
Credential :
Telephone Number : 301-445-7970
Provider Enumeration Date : 01/22/2012
Last Update Date : 01/22/2012

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Directions to “SAINT LUKE INSTITUTE, INC. ” Practice Location

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