Provider Demographics
NPI:1598067936
Name:DEBORAH'S NURSING SERVICES, INC.
Entity Type:Organization
Organization Name:DEBORAH'S NURSING SERVICES, INC.
Other - Org Name:DIRECT NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:JEMMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LHRM, LPN
Authorized Official - Phone:954-772-9660
Mailing Address - Street 1:1995 E OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE #115
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1147
Mailing Address - Country:US
Mailing Address - Phone:954-772-9660
Mailing Address - Fax:954-772-2301
Practice Address - Street 1:1995 E OAKLAND PARK BLVD
Practice Address - Street 2:SUITE #115
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1147
Practice Address - Country:US
Practice Address - Phone:954-772-9660
Practice Address - Fax:954-772-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA22069096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health