Provider Demographics
NPI:1639493067
Name:COMPASSION NURSING AGENCY II
Entity Type:Organization
Organization Name:COMPASSION NURSING AGENCY II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAREGIVER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SECQULI
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-780-7989
Mailing Address - Street 1:1842 OLYMPUS DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-4195
Mailing Address - Country:US
Mailing Address - Phone:214-780-7989
Mailing Address - Fax:972-228-2741
Practice Address - Street 1:1842 OLYMPUS DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-4195
Practice Address - Country:US
Practice Address - Phone:214-780-7989
Practice Address - Fax:972-228-2741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-14
Last Update Date:2010-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care