NPI | 1912902594 |
---|---|
Doing Business As | FOREST HAVEN NURSING HOME |
Entity Type | Organization |
Authorized Contact | DIANA DEW Administrator 410-747-7425 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 03-012) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2020-08-22 |