NPI 1427515071

Shady Grove Snf LLC

Organisation Assisted Living Facility Rockville, MD

Practice location

Address: 9701 Medical Center Dr, Rockville, MD 20850-3326
Phone: (301) 315-1900

Authorised official

Name: Israel Birnbaum
Title: Manaer
Phone: (917) 685-8278

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1427515071
Entity type: Organization
NPI issued: 1 Mar 2019
Record last updated: 1 Mar 2019

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.