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9701 Medical Center Drive Operations LLC — NPI 1609184753, Rockville, MD | NPI Central

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NPI 1609184753

OrganizationActive

9701 Medical Center Drive Operations LLC

NPI 1609184753 · Skilled Nursing Facility · Rockville, MD

Provider details

NPI number: 1609184753
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Michael Berg, Assistant Secretary(505) 468-4752
License: 15009 (MD)

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000XLicense 15009 (MD)
Nursing & Custodial Care Facilities

Practice location

9701 Medical Center Dr

Rockville, MD 20850-3326

Phone: (301) 315-1900

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

101 E State St

Kennett Square, PA 19348-3109

Other names (DBA / former)

Doing business as: Shady Grove Center

Registry dates

Enumerated: 2010-09-22
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.