Provider Demographics
NPI:1679660583
Name:HUNT COUNTRY NURSING SERVICE
Entity Type:Organization
Organization Name:HUNT COUNTRY NURSING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-335-1957
Mailing Address - Street 1:7504 DIPLOMAT DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2631
Mailing Address - Country:US
Mailing Address - Phone:703-361-0876
Mailing Address - Fax:703-331-0044
Practice Address - Street 1:607 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE A-2
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-8406
Practice Address - Country:US
Practice Address - Phone:703-331-0876
Practice Address - Fax:703-331-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care