Provider Demographics
NPI:1134780539
Name:1ST NURSING CARE SERVICES
Entity type:Organization
Organization Name:1ST NURSING CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONFORT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-451-1483
Mailing Address - Street 1:P.O. BOX 4870
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33338
Mailing Address - Country:US
Mailing Address - Phone:786-451-1483
Mailing Address - Fax:
Practice Address - Street 1:10335 SW 50TH CT
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328
Practice Address - Country:US
Practice Address - Phone:786-451-1483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty