FUTURE CARE-IRVINGTON, LLC
Skilled Nursing Facility
Baltimore, Maryland
Provider NPI: 1285638908
Organization Information:Organization Name: FUTURE CARE-IRVINGTON, LLC
Practice Location:
22 S ATHOL AVE BALTIMORE, MD 21229 US
Tel: 410-947-3052 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:
22 S ATHOL AVE BALTIMORE, MD 21229 US
Tel: 410-947-3052 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MD | 30-083 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
400450700 | MD | 05 | |
MEDICAID DME | 400825100 | MD | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin