NPI 1316231160

Genesis

Organisation Nursing Facility/Intermediate Care Facility Brooklyn Park, MD

Practice location

Address: 613 Hammonds Ln, Brooklyn Park, MD 21225-3351
Phone: (410) 350-8514

Authorised official

Name: Monique Price
Title: Program Manager
Phone: (410) 350-8514

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 225200000X (MD)

Other Nursing Facility/Intermediate Care Facility providers in Maryland →

Registry record

NPI: 1316231160
Entity type: Organization
NPI issued: 8 Jun 2011
Record last updated: 8 Jun 2011

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.