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HENDERSON LONG TERM CARE LLC

Nursing & Custodial Care Facilities Skilled Nursing Facility

Provider NPI: 1811421712

Organization Information:
Organization Name:  HENDERSON LONG TERM CARE LLC
Organization is not Subpart
Authorized Official:  KAM  MCGAVOCK  PRESIDENT  410-773-1000

Practice Location:
2965 WIGWAM PARKWAY  HENDERSON, NV 89074 US
Tel: 410-773-1000  Fax: --

Business Mailing Address:
920 RIDGEBROOK RD  SPARKS, MD 21152-9390 US
Tel: --  Fax: --

NPI Information:
NPI: 1811421712
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 314000000X

Type:

Classification:



Definition:



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