Healthcare Provider Details

I. General information

NPI: 1134373053
Provider Name (Legal Business Name): FRANKLIN SQUARE HOSPITAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2008
Last Update Date: 11/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9105 FRANKLIN SQUARE DR SUITE 102, 104
BALTIMORE MD
21237-3930
US

IV. Provider business mailing address

9105 FRANKLIN SQUARE DR SUITE 102, 104
BALTIMORE MD
21237-3930
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-7878
  • Fax:
Mailing address:
  • Phone: 443-777-7878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE BRANDT
Title or Position: DIRECTOR, PROFESSIONAL CONTRACTING
Credential:
Phone: 410-933-3015