Provider Demographics
NPI:1316449697
Name:C AND N NURSING SERVICES AND HOMECARE
Entity type:Organization
Organization Name:C AND N NURSING SERVICES AND HOMECARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:HAAKENSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-551-1294
Mailing Address - Street 1:225 STEDMAN ST STE 32
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-2792
Mailing Address - Country:US
Mailing Address - Phone:978-551-1294
Mailing Address - Fax:
Practice Address - Street 1:225 STEDMAN ST STE 32
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-2792
Practice Address - Country:US
Practice Address - Phone:978-551-1294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2257716251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care