Provider Demographics
NPI:1558410258
Name:JOHN B. PARSONS HOME, LLC
Entity Type:Organization
Organization Name:JOHN B. PARSONS HOME, LLC
Other - Org Name:JOHN B. PARSONS HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-383-4225
Mailing Address - Street 1:300 LEMMON HILL LN
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-4239
Mailing Address - Country:US
Mailing Address - Phone:410-742-1432
Mailing Address - Fax:410-742-9529
Practice Address - Street 1:300 LEMMON HILL LN
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-4239
Practice Address - Country:US
Practice Address - Phone:410-742-1432
Practice Address - Fax:410-742-9529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22AL002310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility