Provider Demographics
NPI:1558674135
Name:ATLANTIC NURSING AND HOMECARE, INC
Entity Type:Organization
Organization Name:ATLANTIC NURSING AND HOMECARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ELINOR
Authorized Official - Last Name:GUTHRIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-864-3406
Mailing Address - Street 1:73 HOLBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-6506
Mailing Address - Country:US
Mailing Address - Phone:781-864-3406
Mailing Address - Fax:781-848-3473
Practice Address - Street 1:73 HOLBROOK AVE
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-6506
Practice Address - Country:US
Practice Address - Phone:781-864-3406
Practice Address - Fax:781-848-3473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7478251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health