Provider Demographics
NPI:1972212819
Name:TRULY NOLEN OF AMERICA, INC.
Entity Type:Organization
Organization Name:TRULY NOLEN OF AMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:WILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-322-4054
Mailing Address - Street 1:432 S WILLIAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-4488
Mailing Address - Country:US
Mailing Address - Phone:520-322-4048
Mailing Address - Fax:
Practice Address - Street 1:2082 33RD ST FL 1
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-8702
Practice Address - Country:US
Practice Address - Phone:407-241-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care