Provider Demographics
NPI:1851627525
Name:MEGA NURSING SERVICES INC
Entity Type:Organization
Organization Name:MEGA NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LYCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-840-6566
Mailing Address - Street 1:7200 N MILITARY TRL STE R
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6463
Mailing Address - Country:US
Mailing Address - Phone:561-840-6566
Mailing Address - Fax:561-840-7620
Practice Address - Street 1:7200 N MILITARY TRL STE R
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6463
Practice Address - Country:US
Practice Address - Phone:561-840-6566
Practice Address - Fax:561-840-7620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL670696796251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL670696796Medicaid