Provider Demographics
NPI:1295887560
Name:NIGHTINGALE'S NURSING & ATTENDANT CARE SERVICES, INC.
Entity type:Organization
Organization Name:NIGHTINGALE'S NURSING & ATTENDANT CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:843-413-6033
Mailing Address - Street 1:216 DOZIER BLVD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4075
Mailing Address - Country:US
Mailing Address - Phone:843-413-6033
Mailing Address - Fax:843-413-6036
Practice Address - Street 1:216 DOZIER BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4075
Practice Address - Country:US
Practice Address - Phone:843-413-6033
Practice Address - Fax:843-413-6036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC062309251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0660OtherPROVIDER IDENTIFICATION