Organization
FUTURE CARE-IRVINGTON, LLC
Active
Other names
FutureCare Irvington
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FINGLASS (CFO/VP OF FINANCE)
(410) 766-1995
Entity
Organization
Contact information
Practice address
22 S ATHOL AVE, BALTIMORE, MD 21229-3405
(410) 947-3052
(410) 947-4075
Mailing address
8028 RITCHIE HWY, STE 210B, PASADENA, MD 21122-1059
(410) 766-1995
(410) 761-6095
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30-083
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400450700
—
MD
01
—
400825100
MEDICAID DME
MD
Enumeration date
06/10/2005
Last updated
09/17/2009
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