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NPI Code Detail

MEDICARE: GLADE VALLEY NURSING & REHABILITATION CENTER INC

MEDICARE: GLADE VALLEY NURSING & REHABILITATION 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
1314000000XSkilled Nursing FacilityMD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861499030
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLADE VALLEY NURSING & REHABILITATION CENTER INC
Provider Business Mailing Address
First Line : 56 W FREDERICK ST
Second Line :
City : WALKERSVILLE
State : MD
Zip : 21793-8254
Country : US
Telephone Number : 301-898-4304
Fax Number : 301-898-4343
Provider Business Practice Location Address
First Line : 56 W FREDERICK ST
Second Line :
City : WALKERSVILLE
State : MD
Zip : 21793-8254
Country : US
Telephone Number : 301-898-4304
Fax Number : 301-898-4343
Authorized Official
Title or Position : DIRECTOR, CENTRAL BUSINESS OFFICE
Name : RICHARD A MARIZAN
Credential :
Telephone Number : 301-315-3272
Provider Enumeration Date : 07/04/2005
Last Update Date : 01/26/2010

Similar Medicare Providers

1932232303 — MRS. MELISSA A. BURKHART OTR
Practice Location Address:
56 W FREDERICK ST
WALKERSVILLE, MD
21793-8254
Practice Phone: 301-898-4320
Practice Fax: 301-898-4343
1144347683 — MRS. JESSICA ROWLEY MS, OTR/L
Practice Location Address:
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Practice Phone: 301-898-4321
Practice Fax:
1861684946 — DENISE BOZUE PT
Practice Location Address:
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WALKERSVILLE, MD
21793-8254
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Practice Fax: 301-898-4343
1306038484 — PAULA GENE FRENCH OTR/L
Practice Location Address:
56 W FREDERICK ST
WALKERSVILLE, MD
21793-8254
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Practice Fax: 301-898-4343
1588856264 — CLAIRE DRAKE
Practice Location Address:
56 W FREDERICK ST
WALKERSVILLE, MD
21793-8254
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1659563336 — RACHEL JOY
Practice Location Address:
56 W FREDERICK ST
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21793-8254
Practice Phone: 301-898-4320
Practice Fax: 301-898-4343

Directions to “GLADE VALLEY NURSING & REHABILITATION CENTER INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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