Provider Demographics
NPI:1669684759
Name:THE GABLES AT CAROLINE INC
Entity Type:Organization
Organization Name:THE GABLES AT CAROLINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:410-479-2130
Mailing Address - Street 1:701 S 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-1364
Mailing Address - Country:US
Mailing Address - Phone:410-479-2371
Mailing Address - Fax:410-479-2609
Practice Address - Street 1:701 S 5TH AVE
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629-1364
Practice Address - Country:US
Practice Address - Phone:410-479-2371
Practice Address - Fax:410-479-2609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05AL035310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility