Provider Demographics
NPI:1952501280
Name:SENTINEL NURSING, LLC
Entity Type:Organization
Organization Name:SENTINEL NURSING, LLC
Other - Org Name:FIRSTAT NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:G
Authorized Official - Last Name:VILLABLANCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-590-9066
Mailing Address - Street 1:12800 UNIVERSITY DR
Mailing Address - Street 2:SUITE 275
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-5332
Mailing Address - Country:US
Mailing Address - Phone:239-590-9066
Mailing Address - Fax:
Practice Address - Street 1:12800 UNIVERSITY DR
Practice Address - Street 2:SUITE 275
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5332
Practice Address - Country:US
Practice Address - Phone:239-590-9066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health