Provider Demographics
NPI:1881051134
Name:THE NESDEN GROUP, INC.
Entity type:Organization
Organization Name:THE NESDEN GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:R
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:571-402-6041
Mailing Address - Street 1:3310 NOBLE POND WAY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-1472
Mailing Address - Country:US
Mailing Address - Phone:571-989-7117
Mailing Address - Fax:
Practice Address - Street 1:3310 NOBLE POND WAY
Practice Address - Street 2:SUITE 215
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-1472
Practice Address - Country:US
Practice Address - Phone:571-989-7117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care