Provider Demographics
NPI:1295034452
Name:CHERYL'S NURSING POOL, INC.
Entity Type:Organization
Organization Name:CHERYL'S NURSING POOL, INC.
Other - Org Name:CHERYL'S NURSING POOL, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-453-7007
Mailing Address - Street 1:209 STATE ST N
Mailing Address - Street 2:P.O. BOX 65
Mailing Address - City:EDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55329-1220
Mailing Address - Country:US
Mailing Address - Phone:320-453-7007
Mailing Address - Fax:320-453-7004
Practice Address - Street 1:209 STATE ST N
Practice Address - Street 2:
Practice Address - City:EDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55329-1220
Practice Address - Country:US
Practice Address - Phone:320-453-7007
Practice Address - Fax:320-453-7004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-26
Last Update Date:2011-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN31051252251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care