Healthcare Provider Details

I. General information

NPI: 1114468634
Provider Name (Legal Business Name): BRINTON WOODS OF PIKESVILLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 03/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SUDBROOK LN
PIKESVILLE MD
21208-4118
US

IV. Provider business mailing address

9515 DEERECO RD SUITE 407
TIMONIUM MD
21093-2116
US

V. Phone/Fax

Practice location:
  • Phone: 410-486-8771
  • Fax:
Mailing address:
  • Phone: 410-560-4925
  • Fax: 410-560-4927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DAREN CORTESE
Title or Position: PRESIDENT
Credential:
Phone: 410-560-4925