- Enrollment id
- O20080513000670
- Enrollment state
- MD
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1184716862
- Multiple npi flag
- N
- Ccn
- 215259
- Associate id
- 3476622747
- Organization name
- PICKERSGILL, INC.
- Incorporation date
- 1811-12-27
- Incorporation state
- MD
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- PICKERSGILL RETIREMENT COMMUNITY
- Address line 1
- 615 CHESTNUT AVENUE
- City
- TOWSON
- State
- MD
- Zip code
- 212043742