Provider Demographics
NPI:1134429145
Name:NURSELINE HEALTHCARE INC
Entity type:Organization
Organization Name:NURSELINE HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINOTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-222-8333
Mailing Address - Street 1:700 S COCKRELL HILL RD
Mailing Address - Street 2:SUITE 166
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-2600
Mailing Address - Country:US
Mailing Address - Phone:469-222-8333
Mailing Address - Fax:972-709-0803
Practice Address - Street 1:700 S COCKRELL HILL RD
Practice Address - Street 2:SUITE 166
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-2600
Practice Address - Country:US
Practice Address - Phone:469-222-8333
Practice Address - Fax:972-709-0803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health