<Unavail>

LBN: Milford Manor Corporation
<Unavail> is an health care organization with primary practice located at 4204 Old Milford Mill Rd , Pikesville MD 21208-6031. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Milford Manor Corporation can be contacted via phone (410) 486-1500, or through Raffel, Gary D via phone (410) 415-5700.

Contact Information

Primary practice address
4204 Old Milford Mill Rd Pikesville MD 21208-6031
Phone: (410) 486-1500
Fax: (410) 653-5530
Website:
Map and Directions
Authorized official contact:
Name: Raffel, Gary D
Phone: (410) 415-5700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 03-024 Maryland

Profile Details

NPI number 1295726149
LBN Legal business name Milford Manor Corporation
DBA Doing business as <Unavail>
Authorized official Raffel, Gary D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Aug 3rd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295726149 NPPES
Maryland MEDICAID 21-5022

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