Provider Demographics
NPI:1720409642
Name:NURSING-AT-LARGE, INC.
Entity Type:Organization
Organization Name:NURSING-AT-LARGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:NAFEESAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOR'DAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-510-7854
Mailing Address - Street 1:12142 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-6629
Mailing Address - Country:US
Mailing Address - Phone:773-510-7854
Mailing Address - Fax:773-941-6074
Practice Address - Street 1:12142 S STATE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628-6629
Practice Address - Country:US
Practice Address - Phone:773-510-7854
Practice Address - Fax:773-941-6074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011583251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health