| NPI | 1295443315 |
|---|---|
| Former Legal Business Name | NIGHTINGALE ELDERCARE LLC |
| Entity Type | Organization |
| Authorized Contact | KINEL SARAH Owner 772-633-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |