Provider Demographics
NPI:1417227786
Name:FAMILY NURSING SERVICES, LLC
Entity Type:Organization
Organization Name:FAMILY NURSING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-445-2114
Mailing Address - Street 1:7521 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6969
Mailing Address - Country:US
Mailing Address - Phone:301-445-2114
Mailing Address - Fax:301-445-1023
Practice Address - Street 1:163 FOREVERGREEN DR
Practice Address - Street 2:UNIT 7
Practice Address - City:FALLING WATERS
Practice Address - State:WV
Practice Address - Zip Code:25419-4984
Practice Address - Country:US
Practice Address - Phone:301-445-2114
Practice Address - Fax:301-445-1023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVNO LICENSE AS YET3140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV=========OtherNEW BUSINESS