Organization · Type 2 NPI

Spring Arbor Crofton MD Tenant, LLC

Assisted Living Facility · Crofton, MD

NPI number 1386394393 Active

Practice location

1495 Riedel Rd
Crofton, MD 21114-1603

Call (410) 451-1140 Map

Mailing address

420 S Orange Ave Ste 400
Orlando, FL 32801-4908

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1386394393
Entity type: Organization (Type 2)
Issued: Mar 24, 2022
Last updated: Apr 20, 2022
Status: Active
Subpart: Yes of Spring Arbor Master Tenant, LLC

Other names

Spring Arbor of Crofton · doing business as

Authorized official

Kevin R Maddron
Chief Financial Officer
(407) 540-7700

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386394393

Spring Arbor Crofton MD Tenant, LLC's National Provider Identifier is 1386394393, issued on Mar 24, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Crofton, MD. The record was last updated on Apr 20, 2022.