Provider Demographics
NPI:1457008898
Name:APS HEALTH AND INFUSION NURSING SERVICES, LLC
Entity Type:Organization
Organization Name:APS HEALTH AND INFUSION NURSING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-539-2746
Mailing Address - Street 1:2813 COFFEE RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-1755
Mailing Address - Country:US
Mailing Address - Phone:209-539-2746
Mailing Address - Fax:
Practice Address - Street 1:2813 COFFEE RD BLDG A
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-1755
Practice Address - Country:US
Practice Address - Phone:209-539-2746
Practice Address - Fax:209-527-3419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-06
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion