Organization
FCOC LLC
Active
Other names
FutureCare Old Court
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN FINGLASS CPA (CFO)
(410) 766-1995
Entity
Organization
Contact information
Practice address
5412 OLD COURT RD, RANDALLSTOWN, MD 21133-5104
(410) 922-3200
(410) 922-8521
Mailing address
8028 RITCHIE HWY, SUITE 210B, PASADENA, MD 21122-1075
(410) 766-1995
(410) 761-6095
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
05/24/2016
Last updated
05/24/2016
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