Provider Demographics
NPI:1326687724
Name:NAN NURSING SERVICES LLC
Entity Type:Organization
Organization Name:NAN NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE CLINICAL ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-315-0141
Mailing Address - Street 1:300 WELSH ROAD
Mailing Address - Street 2:BLDG ONE STE 100
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044
Mailing Address - Country:US
Mailing Address - Phone:215-315-0141
Mailing Address - Fax:215-315-0139
Practice Address - Street 1:300 WELSH ROAD
Practice Address - Street 2:BLDG ONE STE 100
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044
Practice Address - Country:US
Practice Address - Phone:215-315-0141
Practice Address - Fax:215-315-0139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health