Organization Name: | 817 MARSHALL AVE |
NPI Number: | 1013140805 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHANNA ROXANNE PITTMAN (PRIVTE DUTY NURSE) |
Mailing Address: | 817 Marshall Ave Saint Paul |
State: | MN US |
Postal Code: | 551046651 |
Phone Number: | 7632028808 |
Fax Number: | 6512912739 |
NPI Enumeration Date: | 08/27/2009 |
NPI Last Update Date: | 08/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251J00000X |
License Number: | R171403-6 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Nursing Care |
Taxonomy Specialization: | |
Taxonomy Definition: | A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |