Glade Valley Center
LBN: 56 West Frederick Street Operations Llc
Glade Valley Center is an health care organization with primary practice located at 56 W Frederick St , Walkersville MD 21793-8254. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
56 West Frederick Street Operations Llc can be contacted via phone (301) 898-4300, or through Berg, Michael T. via phone (505) 468-4752.
Contact Information
Primary practice address
56 W Frederick St
Walkersville MD 21793-8254
Phone: (301) 898-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10015 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 10015 | Maryland |
Profile Details
| NPI number | 1407200884 |
|---|---|
| LBN Legal business name | 56 West Frederick Street Operations Llc |
| DBA Doing business as | Glade Valley Center |
| Authorized official | Berg, Michael T. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 21st, 2016 |
| Last updated | Aug 31st, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407200884 | NPPES |
| Maryland | MEDICAID | 556222800 |
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