Provider Demographics
NPI:1417003534
Name:NIGHTINGALE NURSING SERVICES
Entity Type:Organization
Organization Name:NIGHTINGALE NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:MCCUTCHEON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:325-247-2600
Mailing Address - Street 1:717 FORD ST
Mailing Address - Street 2:
Mailing Address - City:LLANO
Mailing Address - State:TX
Mailing Address - Zip Code:78643-1917
Mailing Address - Country:US
Mailing Address - Phone:325-247-2600
Mailing Address - Fax:325-247-2611
Practice Address - Street 1:717 FORD ST
Practice Address - Street 2:
Practice Address - City:LLANO
Practice Address - State:TX
Practice Address - Zip Code:78643-1917
Practice Address - Country:US
Practice Address - Phone:325-247-2600
Practice Address - Fax:325-247-2611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32020592187251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care