NPI 1265436885

Haven Nursing Home, INC

Organisation Nursing Facility/Intermediate Care Facility Baltimore, MD

Practice location

Address: 3939 Penhurst Ave, Baltimore, MD 21215-5632
Phone: (410) 664-9535
Fax: (410) 664-0806

Authorised official

Name: Al L Holsopple
Title: Administrator
Phone: (410) 664-9535

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 30074 (MD)

Other Nursing Facility/Intermediate Care Facility providers in Maryland →

Registry record

NPI: 1265436885
Entity type: Organization
NPI issued: 10 Jun 2005
Record last updated: 2 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.