Basic Information
| Provider Information | |||||||||
| NPI: | 1568835783 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SAVA SENIOR CARE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1719 FALLSWAY DR | ||||||||
| Address2: | |||||||||
| City: | CROFTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211141801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108971600 | ||||||||
| FaxNumber: | 4108971554 | ||||||||
| Practice Location | |||||||||
| Address1: | 2700 SOUTHAVEN RD | ||||||||
| Address2: | |||||||||
| City: | ANNAPOLIS | ||||||||
| State: | MD | ||||||||
| PostalCode: | 214017122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108971300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2015 | ||||||||
| LastUpdateDate: | 11/10/2015 | ||||||||
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| AuthorizedOfficialLastName: | HALL | ||||||||
| AuthorizedOfficialFirstName: | JENNIFER | ||||||||
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| AuthorizedOfficialTitleorPosition: | OCCUPATIONAL THERAPY ASSISTANT | ||||||||
| AuthorizedOfficialTelephone: | 4108971300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | COTA/L | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | A00806 | MD | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.