Provider Demographics
NPI:1740563717
Name:THE GOOD NURSE HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:THE GOOD NURSE HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIPHANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-529-1866
Mailing Address - Street 1:1636 TURTLE POINT DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2778
Mailing Address - Country:US
Mailing Address - Phone:214-529-1866
Mailing Address - Fax:972-298-8910
Practice Address - Street 1:1636 TURTLE POINT DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2778
Practice Address - Country:US
Practice Address - Phone:214-529-1866
Practice Address - Fax:972-298-8910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health