Provider Demographics
NPI:1114224425
Name:NATIONS CARELINK
Entity Type:Organization
Organization Name:NATIONS CARELINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDEP. VENDOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACQUET
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:941-284-6965
Mailing Address - Street 1:862 BOUNDARY BLVD
Mailing Address - Street 2:
Mailing Address - City:ROTONDA WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33947-2866
Mailing Address - Country:US
Mailing Address - Phone:941-284-6965
Mailing Address - Fax:941-697-7884
Practice Address - Street 1:862 BOUNDARY BLVD
Practice Address - Street 2:
Practice Address - City:ROTONDA WEST
Practice Address - State:FL
Practice Address - Zip Code:33947-2866
Practice Address - Country:US
Practice Address - Phone:941-284-6965
Practice Address - Fax:941-697-7884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9197731311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9197731OtherREGISTERED NURSE