Provider Demographics
NPI:1043856842
Name:OPTIMAL NURSING SERVICES,LLC
Entity Type:Organization
Organization Name:OPTIMAL NURSING SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEKEYA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:410-419-9428
Mailing Address - Street 1:608 TINKER RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-3799
Mailing Address - Country:US
Mailing Address - Phone:410-419-9428
Mailing Address - Fax:443-559-6925
Practice Address - Street 1:608 TINKER RD
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-3799
Practice Address - Country:US
Practice Address - Phone:410-419-9428
Practice Address - Fax:443-559-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility