Provider Demographics
NPI:1194302992
Name:I CAN NURSING LLC
Entity type:Organization
Organization Name:I CAN NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:800-863-2041
Mailing Address - Street 1:267 UNION ROAD 81
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:AR
Mailing Address - Zip Code:71758-6064
Mailing Address - Country:US
Mailing Address - Phone:800-863-2041
Mailing Address - Fax:
Practice Address - Street 1:267 UNION ROAD 81
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:AR
Practice Address - Zip Code:71758-6064
Practice Address - Country:US
Practice Address - Phone:800-863-2041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty