Organization Name: | NIGHTINGALE COMMUNITY HOME CARE, LL |
NPI Number: | 1144601006 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICKI FLUKER (PRESIDENT/CEO) |
Mailing Address: | 300 W Butler Rd Suite B Mauldin |
State: | SC US |
Postal Code: | 296622585 |
Phone Number: | 8446214663 |
Fax Number: | 8645091006 |
NPI Enumeration Date: | 06/16/2015 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |