Provider Demographics
NPI:1205605052
Name:DIRECT NURSING LLC
Entity type:Organization
Organization Name:DIRECT NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MUSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SACCOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-724-5703
Mailing Address - Street 1:2 CYPRESS POINT RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-4742
Mailing Address - Country:US
Mailing Address - Phone:609-724-5703
Mailing Address - Fax:
Practice Address - Street 1:2 CYPRESS POINT RD
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-4742
Practice Address - Country:US
Practice Address - Phone:609-724-5703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty