Provider Demographics
NPI:1225331168
Name:NIGHTINGALE NURSES ASSOCIATION OF MI
Entity Type:Organization
Organization Name:NIGHTINGALE NURSES ASSOCIATION OF MI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHATERIA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:313-551-5814
Mailing Address - Street 1:4611 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-2765
Mailing Address - Country:US
Mailing Address - Phone:313-551-5814
Mailing Address - Fax:313-551-5817
Practice Address - Street 1:4611 ALLEN RD
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-2765
Practice Address - Country:US
Practice Address - Phone:313-551-5814
Practice Address - Fax:313-551-5817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health