| NPI | 1467150037 |
|---|---|
| Doing Business As | FREDERICK VILLA HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JACK PANETH Authorized Official 410-788-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-09-10 |