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NPI Code Detail

MEDICARE: NORTHAMPTON MANOR NURSING AND REHABILITATION CENTER, LLC

MEDICARE: NORTHAMPTON MANOR NURSING AND REHABILITATION CENTER, LLC
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 Facility

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 : 1770968067
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHAMPTON MANOR NURSING AND REHABILITATION CENTER, LLC
Provider Business Mailing Address
First Line : 200 E 16TH ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4400
Country : US
Telephone Number : 301-662-8700
Fax Number :
Provider Business Practice Location Address
First Line : 200 E 16TH ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4400
Country : US
Telephone Number : 301-662-8700
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF AR
Name : BARBARA MCADAMS
Credential :
Telephone Number : 410-923-2415
Provider Enumeration Date : 07/28/2015
Last Update Date : 03/10/2016

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