OrganizationActive
16 Fusting Avenue Operations LLC
NPI 1083896542 · Skilled Nursing Facility · Baltimore, MD
Provider details
- NPI number
- 1083896542
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Michael Berg, Assistant Secretary
- License
- 03-018 (MD)
Practice location
16 Fusting Ave
Baltimore, MD 21228-4413
Phone: (410) 747-1800
Fax: (410) 747-0822
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Registry dates
- Enumerated
- 2007-11-27
- Last updated
- 2016-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.