Provider Demographics
NPI:1396188140
Name:NURSING SOLES, LLC
Entity Type:Organization
Organization Name:NURSING SOLES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-209-4707
Mailing Address - Street 1:17836 6300 RD
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81403-9100
Mailing Address - Country:US
Mailing Address - Phone:970-209-4707
Mailing Address - Fax:888-644-3519
Practice Address - Street 1:17836 6300 RD
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81403-9100
Practice Address - Country:US
Practice Address - Phone:970-209-4707
Practice Address - Fax:888-644-3519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO167002302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization