Provider Demographics
NPI:1841565595
Name:MORNINGSIDE HOUSE OF SATYR HILL
Entity Type:Organization
Organization Name:MORNINGSIDE HOUSE OF SATYR HILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-669-1804
Mailing Address - Street 1:8800 OLD HARFORD ROAD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-2867
Mailing Address - Country:US
Mailing Address - Phone:410-882-0700
Mailing Address - Fax:410-882-5220
Practice Address - Street 1:8800 OLD HARFORD RD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-2867
Practice Address - Country:US
Practice Address - Phone:410-882-0700
Practice Address - Fax:410-882-5220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03AL634-F310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility