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Organization

FUTURE CARE OLD COURT, INC.

Active
Other names
FutureCare Old Court
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN FINGLASS (CFO/VP OF FINANCE)
(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, STE 210B, PASADENA, MD 21122-1059
(410) 766-1995
(410) 761-6095

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03-054
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303600600
MD
01
303602200
MEDICAID DME
MD
Enumeration date
06/09/2005
Last updated
09/17/2009
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