Provider Demographics
NPI:1245415058
Name:ADVANCED NURSING, INC.
Entity Type:Organization
Organization Name:ADVANCED NURSING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ED
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:601-684-8181
Mailing Address - Street 1:PO BOX 1761
Mailing Address - Street 2:SUITE C
Mailing Address - City:MCCOMB
Mailing Address - State:MS
Mailing Address - Zip Code:39649-1761
Mailing Address - Country:US
Mailing Address - Phone:601-684-8181
Mailing Address - Fax:601-684-3411
Practice Address - Street 1:119 W PRESLEY BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-5534
Practice Address - Country:US
Practice Address - Phone:601-684-8181
Practice Address - Fax:601-684-3411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1131311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility