Provider Demographics
NPI:1124211891
Name:ALTERNATE NURSING CARE
Entity Type:Organization
Organization Name:ALTERNATE NURSING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARVA
Authorized Official - Middle Name:T
Authorized Official - Last Name:QUACCOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-416-0019
Mailing Address - Street 1:130 BROADBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-1121
Mailing Address - Country:US
Mailing Address - Phone:203-416-0019
Mailing Address - Fax:203-416-0031
Practice Address - Street 1:130 BROADBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-1121
Practice Address - Country:US
Practice Address - Phone:203-416-0019
Practice Address - Fax:203-416-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care