Provider Demographics
NPI:1689450512
Name:ADVENTIST REHABILITATION OF MARYLAND, INC.
Entity Type:Organization
Organization Name:ADVENTIST REHABILITATION OF MARYLAND, INC.
Other - Org Name:ADVENTIST REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR PROVIDER NETWORK ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LINFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-315-3826
Mailing Address - Street 1:820 W DIAMOND AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1469
Mailing Address - Country:US
Mailing Address - Phone:301-315-3826
Mailing Address - Fax:
Practice Address - Street 1:9905 MEDICAL CENTER DR STE 310
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6533
Practice Address - Country:US
Practice Address - Phone:240-826-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation