Heron'S Creek

LBN: Heron'S Creek
Heron'S Creek is an health care organization with primary practice located at 112 Red Toad Rd , North East MD 21901-2601. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Heron'S Creek can be contacted via phone (443) 674-8745, or through Fair, Doris Stacy via phone (443) 540-8949.

Contact Information

Primary practice address
112 Red Toad Rd North East MD 21901-2601
Phone: (443) 674-8745
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fair, Doris Stacy Physician Assistant (PA)
Phone: (443) 540-8949

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL000682 Maryland

Profile Details

NPI number 1669743175
LBN Legal business name Heron'S Creek
DBA Doing business as
Authorized official Fair, Doris Stacy Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2012
Last updated Jan 16th, 2012 - about 13 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.

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