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14200 LAUREL PARK DRIVE OPCO LLC 1477202547

Overview
Name: 14200 LAUREL PARK DRIVE OPCO LLC Specialty: Respite Care Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Respite Care Facility Classification: Respite Care Specialization: . Definition of Specialty: Definition to come.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: 14200 LAUREL PARK DRIVE OPCO LLC,14200 LAUREL PARK DR,LAUREL,MD,207075201,US Mailing Address: 14200 LAUREL PARK DRIVE OPCO LLC,14C 53RD ST,BROOKLYN,NY,112322644,US
Contact #
Practice location phone #: 4107924717 Practice location fax #: Mailing address Phone #: 8775670402 Mailing Address fax #: Authorized official Name/Telephone #:SAM, STERN, CFO 8775670402
Misc
Date NPI was obtained: 03/23/2022 Last data data was updated: 03/23/2022 Insurances:

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