Organization
CHARLES STREET HEALTHCARE, LLC
Active
Other names
FutureCare Homewood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN FINGLASS CFO (VP OF FINANCE)
(410) 766-1995
Entity
Organization
Contact information
Practice address
2700 N CHARLES ST, BALTIMORE, MD 21218-4300
(470) 554-6300
(410) 554-3919
Mailing address
8028 RITCHIE HWY, SUITE 210B, PASADENA, MD 21122-1075
(410) 766-1995
(470) 761-6095
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30-018
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3006034 00
—
MD
Enumeration date
04/07/2016
Last updated
04/07/2016
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