OrganizationActive
Mary T Maryland
NPI 1629302401 · Intellectual Disabilities Intermediate Care Facility · Severna Park, MD
Provider details
- NPI number
- 1629302401
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Connie Winbauer, Controller(763) 862-5436
Specialties & taxonomies
Nursing & Custodial Care Facilities
Agencies
Practice location
820 Ritchie Hwy Ste 100
Severna Park, MD 21146-4111
Phone: (410) 544-6813
Fax: (410) 544-6818
Approximate (ZIP-level) locationGet directions
Mailing address
1555 118th Ln Nw
Coon Rapids, MN 55448-7579
Registry dates
- Enumerated
- 2009-09-25
- Last updated
- 2009-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.