Provider Demographics
NPI:1598762767
Name:GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST
Entity Type:Organization
Organization Name:GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST
Other - Org Name:SLIGO CREEK NURSING & REHABILITATION CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, CENTRAL BUSINESS OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARIZAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-315-3272
Mailing Address - Street 1:7525 CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5715
Mailing Address - Country:US
Mailing Address - Phone:301-270-4200
Mailing Address - Fax:301-270-3353
Practice Address - Street 1:7525 CARROLL AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-5715
Practice Address - Country:US
Practice Address - Phone:301-270-4200
Practice Address - Fax:301-270-3353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-04
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD152677400Medicaid
MD410842600Medicaid
MD215068AMedicare Oscar/Certification
MD410842600Medicaid