Organization Name: | NAUTILUS HEALTH CARE GROUP, LLC |
NPI Number: | 1013234699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER A MORRISON (OWNER / PROVIDER) |
Mailing Address: | 1907 W Sycamore St Kokomo |
State: | IN US |
Postal Code: | 469015148 |
Phone Number: | 7654565433 |
Fax Number: | 8774962102 |
NPI Enumeration Date: | 04/22/2010 |
NPI Last Update Date: | 04/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0000X |
License Number: | 01059975A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Wound Care |
Taxonomy Definition: |