Provider Demographics
NPI:1801208871
Name:MOBILE NURSING HOSPICE, INC.
Entity type:Organization
Organization Name:MOBILE NURSING HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-372-4920
Mailing Address - Street 1:705 AVENUE G
Mailing Address - Street 2:
Mailing Address - City:FORT MADISON
Mailing Address - State:IA
Mailing Address - Zip Code:52627-2915
Mailing Address - Country:US
Mailing Address - Phone:319-372-2707
Mailing Address - Fax:319-372-8770
Practice Address - Street 1:705 AVENUE G
Practice Address - Street 2:
Practice Address - City:FORT MADISON
Practice Address - State:IA
Practice Address - Zip Code:52627-2915
Practice Address - Country:US
Practice Address - Phone:319-372-2707
Practice Address - Fax:319-372-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based