| NPI | 1528506086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEAL CHRISTIANA BUNDOR Owner 267-408-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA 103027299) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: PA 103027299) |
| 163W00000X Registered Nurse (Licence: PA 103027299) | |
| 163WC0400X Registered Nurse, Case Management (Licence: PA 103027299) | |
| 163WC1500X Registered Nurse, Community Health (Licence: PA 103027299) | |
| 163WG0100X Registered Nurse, Gastroenterology (Licence: PA 103027299) | |
| 163WG0000X Registered Nurse, General Practice (Licence: PA 103027299) | |
| 163WG0600X Registered Nurse, Gerontology (Licence: PA 103027299) | |
| 163WI0600X Registered Nurse, Infection Control (Licence: PA 103027299) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: PA 103027299) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA 103027299) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: PA 103027299) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: PA 103027299) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: PA 103027299) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: PA 103027299) | |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-03-14 |