Provider Demographics
NPI:1194889246
Name:LORIEN LIFE CENTER BALTIMORE COUNTY, INC.
Entity type:Organization
Organization Name:LORIEN LIFE CENTER BALTIMORE COUNTY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SNOWBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-750-7500
Mailing Address - Street 1:3300 N RIDGE RD
Mailing Address - Street 2:SUITE 390
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-3383
Mailing Address - Country:US
Mailing Address - Phone:410-252-0880
Mailing Address - Fax:
Practice Address - Street 1:12230 ROUNDWOOD ROAD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-3233
Practice Address - Country:US
Practice Address - Phone:410-252-0880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility