MEDICARE: BRINTON WOODS OF FRANKFORD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	PENDING	MD

General Provider Information

NPI Number	:	1831227917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRINTON WOODS OF FRANKFORD, LLC

Provider Business Mailing Address
First Line	:	5009 FRANKFORD AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21206-5353
Country	:	US
Telephone Number	:	410-325-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5009 FRANKFORD AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21206-5353
Country	:	US
Telephone Number	:	410-325-4000
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. DAREN A CORTESE
Credential	:
Telephone Number	:	410-795-7314

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	12/23/2008

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