Provider Demographics
NPI:1669646279
Name:NURSES ON THE GO
Entity Type:Organization
Organization Name:NURSES ON THE GO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:D'JUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LVN, HCS-D, COS-C
Authorized Official - Phone:409-289-7586
Mailing Address - Street 1:1868 COUNTY ROAD 639
Mailing Address - Street 2:
Mailing Address - City:BUNA
Mailing Address - State:TX
Mailing Address - Zip Code:77612-1100
Mailing Address - Country:US
Mailing Address - Phone:409-289-7586
Mailing Address - Fax:
Practice Address - Street 1:1868 COUNTY ROAD 639
Practice Address - Street 2:
Practice Address - City:BUNA
Practice Address - State:TX
Practice Address - Zip Code:77612-1100
Practice Address - Country:US
Practice Address - Phone:409-289-7586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health