Provider Demographics
NPI:1861021156
Name:NIGHTINGALE INFUSION INC.
Entity Type:Organization
Organization Name:NIGHTINGALE INFUSION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:CARLA
Authorized Official - Last Name:FRIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-355-6472
Mailing Address - Street 1:9100 WHITE BLUFF RD STE 603
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4674
Mailing Address - Country:US
Mailing Address - Phone:912-355-6472
Mailing Address - Fax:912-691-4716
Practice Address - Street 1:9100 WHITE BLUFF RD STE 603
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4674
Practice Address - Country:US
Practice Address - Phone:912-355-6472
Practice Address - Fax:912-691-4716
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1861021156
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-07
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome Health
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy