Provider Demographics
NPI:1477247567
Name:PROFESSIONAL NURSING CONTRACTING SERVICES, LLC
Entity Type:Organization
Organization Name:PROFESSIONAL NURSING CONTRACTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAHIMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JABBAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-356-7353
Mailing Address - Street 1:2012 CHARTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SANDSTON
Mailing Address - State:VA
Mailing Address - Zip Code:23150-4120
Mailing Address - Country:US
Mailing Address - Phone:804-356-7353
Mailing Address - Fax:
Practice Address - Street 1:2012 CHARTWOOD LN
Practice Address - Street 2:
Practice Address - City:SANDSTON
Practice Address - State:VA
Practice Address - Zip Code:23150-4120
Practice Address - Country:US
Practice Address - Phone:804-356-7353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROFESSIONAL NURSING CONTRACTING SERVICES,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty