Provider Demographics
NPI:1265005797
Name:PRIVATE NURSING CARE, INC.
Entity Type:Organization
Organization Name:PRIVATE NURSING CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:EASTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-696-0048
Mailing Address - Street 1:PO BOX 650364
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32965-0364
Mailing Address - Country:US
Mailing Address - Phone:772-696-0048
Mailing Address - Fax:
Practice Address - Street 1:4731 HIGHWAY A1A STE 214
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-5401
Practice Address - Country:US
Practice Address - Phone:772-696-0048
Practice Address - Fax:772-494-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care