Provider Demographics
NPI:1134835614
Name:ABLE SERVICES NURSE REGISTRY LLC
Entity type:Organization
Organization Name:ABLE SERVICES NURSE REGISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKOONEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-246-6039
Mailing Address - Street 1:1315 NW 6TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-4246
Mailing Address - Country:US
Mailing Address - Phone:352-246-6039
Mailing Address - Fax:
Practice Address - Street 1:1315 NW 6TH ST STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-4246
Practice Address - Country:US
Practice Address - Phone:352-246-6039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care