Healthcare Provider Details

I. General information

NPI: 1831227917
Provider Name (Legal Business Name): BRINTON WOODS OF FRANKFORD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 12/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5009 FRANKFORD AVE
BALTIMORE MD
21206-5353
US

IV. Provider business mailing address

5009 FRANKFORD AVE
BALTIMORE MD
21206-5353
US

V. Phone/Fax

Practice location:
  • Phone: 410-325-4000
  • Fax:
Mailing address:
  • Phone: 410-325-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberPENDING
License Number StateMD

VIII. Authorized Official

Name: MR. DAREN A CORTESE
Title or Position: VICE PRESIDENT
Credential:
Phone: 410-795-7314