Provider Demographics
NPI:1760756415
Name:SOLOMAN HOLDINGS1 - THE TRIANGLE, LLC
Entity Type:Organization
Organization Name:SOLOMAN HOLDINGS1 - THE TRIANGLE, LLC
Other - Org Name:BRIGHTON GARDENS OF COLUMBIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-884-0773
Mailing Address - Street 1:7110 MINSTREL WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5426
Mailing Address - Country:US
Mailing Address - Phone:410-884-0773
Mailing Address - Fax:410-884-0776
Practice Address - Street 1:7110 MINSTREL WAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5426
Practice Address - Country:US
Practice Address - Phone:410-884-0773
Practice Address - Fax:410-884-0776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13AL138-H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility