Provider Demographics
NPI:1952635138
Name:NIGHTINGALE HOSPICE, INC.
Entity Type:Organization
Organization Name:NIGHTINGALE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-355-6472
Mailing Address - Street 1:9100 WHITE BLUFF RD.
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4670
Mailing Address - Country:US
Mailing Address - Phone:912-355-6472
Mailing Address - Fax:912-691-4716
Practice Address - Street 1:9100 WHITE BLUFF RD.
Practice Address - Street 2:SUITE 301
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4670
Practice Address - Country:US
Practice Address - Phone:912-355-6472
Practice Address - Fax:912-691-4716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA025-0325-H251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based