Provider Demographics
NPI:1205075280
Name:ATLANTIC NURSING STAFF LLC
Entity type:Organization
Organization Name:ATLANTIC NURSING STAFF LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMLET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-586-0111
Mailing Address - Street 1:100 SOUTH MAIN STREET
Mailing Address - Street 2:PO BOX 1143
Mailing Address - City:LITTLETON
Mailing Address - State:NC
Mailing Address - Zip Code:27850
Mailing Address - Country:US
Mailing Address - Phone:252-586-0111
Mailing Address - Fax:252-586-0115
Practice Address - Street 1:100 SOUTH MAIN ST.
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NC
Practice Address - Zip Code:27850
Practice Address - Country:US
Practice Address - Phone:252-586-0111
Practice Address - Fax:252-586-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health