Provider Demographics
NPI:1821508920
Name:NIGHTINGALE GET WELL, LLC.
Entity Type:Organization
Organization Name:NIGHTINGALE GET WELL, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL & CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-537-6728
Mailing Address - Street 1:1756 DARROW DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9261
Mailing Address - Country:US
Mailing Address - Phone:614-537-6728
Mailing Address - Fax:
Practice Address - Street 1:1756 DARROW DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9261
Practice Address - Country:US
Practice Address - Phone:614-537-6728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health