CHARLES STREET HEALTHCARE, LLC
Skilled Nursing Facility
Baltimore, Maryland
Provider NPI: 1275537995
Organization Information:Organization Name: CHARLES STREET HEALTHCARE, LLC
Practice Location:
2700 N CHARLES ST BALTIMORE, MD 21218 US
Tel: 410-554-6300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2700 N CHARLES ST BALTIMORE, MD 21218 US
Tel: 410-554-6300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MD | 30-018 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICAID DME | 790400200 | MD | 01 |
842825500 | MD | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin