Provider Demographics
NPI:1821371154
Name:MCGLOWN NURSING SERVICES
Entity Type:Organization
Organization Name:MCGLOWN NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:JONTERIA
Authorized Official - Middle Name:JANEE'
Authorized Official - Last Name:HUDSON-MCGLOWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-838-5158
Mailing Address - Street 1:1804 GAWAIN CIR
Mailing Address - Street 2:
Mailing Address - City:W CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-2450
Mailing Address - Country:US
Mailing Address - Phone:937-838-5158
Mailing Address - Fax:
Practice Address - Street 1:1804 GAWAIN CIR
Practice Address - Street 2:
Practice Address - City:W CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:45449-2450
Practice Address - Country:US
Practice Address - Phone:937-838-5158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.145443-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty