3332 Main Street Opco LLC
3332 Main Street Opco LLC is a Nursing Facility/Intermediate Care Facility in Manchester, Maryland. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3332 Main StManchester, MD 21102-1952
Phone: (410) 239-7139
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|---|
| Nursing Facility/Intermediate Care Facility | Taxonomy 313M00000X |
| Respite Care | Taxonomy 385H00000X |
Record details
| NPI number | 1952047326 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sam Stern — Cfo · (877) 567-0402 |
| Other names | Autumn Lake Healthcare At Long View; Autumn Lake Healthcare At Long View |
| NPI enumerated | May 9, 2022 |
| Last updated in NPPES | August 16, 2022 |
| Certification date | June 13, 2022 |
| Mailing address | 14c 53rd St, Brooklyn, NY 11232-2644 |