Provider Demographics
NPI:1639496185
Name:PHARUNS NURSING
Entity Type:Organization
Organization Name:PHARUNS NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:D
Authorized Official - Last Name:PHARUNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-736-5045
Mailing Address - Street 1:9922 211TH PL
Mailing Address - Street 2:QUEENS
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11429-1145
Mailing Address - Country:US
Mailing Address - Phone:718-736-5045
Mailing Address - Fax:
Practice Address - Street 1:9922 211TH PL
Practice Address - Street 2:QUEENS
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11429-1145
Practice Address - Country:US
Practice Address - Phone:718-736-5045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child