Provider Demographics
NPI:1114263068
Name:NO NURSING HOME FOR ME
Entity Type:Organization
Organization Name:NO NURSING HOME FOR ME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOFFAT
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:484-798-8007
Mailing Address - Street 1:PO BOX 857
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-0857
Mailing Address - Country:US
Mailing Address - Phone:484-798-8007
Mailing Address - Fax:484-593-4457
Practice Address - Street 1:339 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2536
Practice Address - Country:US
Practice Address - Phone:484-798-8007
Practice Address - Fax:484-593-4457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA20823601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care