Provider Demographics
NPI:1740927672
Name:S DOT E DOT A NURSING SERVICES LLC
Entity type:Organization
Organization Name:S DOT E DOT A NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, ARNP
Authorized Official - Prefix:
Authorized Official - First Name:ADENIKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, ARNP
Authorized Official - Phone:407-879-6263
Mailing Address - Street 1:5500 87TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-7083
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5500 87TH AVE NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-7083
Practice Address - Country:US
Practice Address - Phone:407-879-6263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care