Provider Demographics
NPI:1215665815
Name:PRIORITY CARE NURSING LLC
Entity type:Organization
Organization Name:PRIORITY CARE NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:IGWACHO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP-PMH
Authorized Official - Phone:240-644-9706
Mailing Address - Street 1:12200 TORREY PINES TER
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1161
Mailing Address - Country:US
Mailing Address - Phone:240-644-9706
Mailing Address - Fax:
Practice Address - Street 1:12200 TORREY PINES TER
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1161
Practice Address - Country:US
Practice Address - Phone:240-644-9706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251J00000XAgenciesNursing Care