Provider Demographics
NPI:1477806578
Name:EAST COAST NURSING LLC
Entity Type:Organization
Organization Name:EAST COAST NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PITT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:717-273-7514
Mailing Address - Street 1:721 NARROWS DRIVE
Mailing Address - Street 2:(HOME OFFICE)
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046
Mailing Address - Country:US
Mailing Address - Phone:717-273-7514
Mailing Address - Fax:
Practice Address - Street 1:721 NARROWS DRIVE
Practice Address - Street 2:(HOME OFFICE)
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17046-9204
Practice Address - Country:US
Practice Address - Phone:717-273-7514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA23173601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health