Provider Demographics
NPI:1376310300
Name:BP NURSING SERVICES LLC
Entity Type:Organization
Organization Name:BP NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHELISTER
Authorized Official - Middle Name:B
Authorized Official - Last Name:ONGWAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-203-1340
Mailing Address - Street 1:6 BEAUDOIN ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6700
Mailing Address - Country:US
Mailing Address - Phone:603-203-1340
Mailing Address - Fax:
Practice Address - Street 1:6 BEAUDOIN ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6700
Practice Address - Country:US
Practice Address - Phone:603-203-1340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty