Provider Demographics
NPI:1740367770
Name:IMANI NURSES AGENCY LLC
Entity type:Organization
Organization Name:IMANI NURSES AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAINYE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:908-241-4050
Mailing Address - Street 1:1318 SHAFFER AVE
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07203-2952
Mailing Address - Country:US
Mailing Address - Phone:908-241-4050
Mailing Address - Fax:908-241-8240
Practice Address - Street 1:1318 SHAFFER AVE
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:NJ
Practice Address - Zip Code:07203-2952
Practice Address - Country:US
Practice Address - Phone:908-241-4050
Practice Address - Fax:908-241-8240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR11374600251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care