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1952009516
GRANITE MD OPCO
RANDALLSTOWN, MD
NPI
1952009516
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Entity Type
Organization
Authorized Contact
JACK PANETH
Authorized Official
410-655-7373
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2023-02-22
Last Update Date
2023-09-10
Business Address
GRANITE MD OPCO
9109 LIBERTY RD
RANDALLSTOWN, MD 21133-3521
Phone number: 410-655-7373
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Mailing Address
GRANITE MD OPCO
9109 LIBERTY RD
RANDALLSTOWN, MD 21133-3521
Phone number: 410-655-7373
Copy
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