Provider Demographics
NPI:1659490456
Name:METRO NURSING INC.
Entity Type:Organization
Organization Name:METRO NURSING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRADDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:336-765-5721
Mailing Address - Street 1:1531 WESTBROOK PLAZA DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1330
Mailing Address - Country:US
Mailing Address - Phone:336-765-5721
Mailing Address - Fax:336-765-6752
Practice Address - Street 1:1531 WESTBROOK PLAZA DR
Practice Address - Street 2:SUITE G
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1330
Practice Address - Country:US
Practice Address - Phone:336-765-5721
Practice Address - Fax:336-765-6752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0068251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408434Medicaid
NC7100076Medicaid
NC6600171Medicaid