Provider Demographics
NPI:1720407448
Name:YE NURSING SERVICES
Entity Type:Organization
Organization Name:YE NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:YAVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-391-4837
Mailing Address - Street 1:619 CHESTER RIVER BEACH RD
Mailing Address - Street 2:
Mailing Address - City:GRASONVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21638-1000
Mailing Address - Country:US
Mailing Address - Phone:202-391-4837
Mailing Address - Fax:410-827-4727
Practice Address - Street 1:619 CHESTER RIVER BEACH RD
Practice Address - Street 2:
Practice Address - City:GRASONVILLE
Practice Address - State:MD
Practice Address - Zip Code:21638-1000
Practice Address - Country:US
Practice Address - Phone:202-391-4837
Practice Address - Fax:410-827-4727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP48536251E00000X
DCLPN1006048251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health