Provider Demographics
NPI:1346588910
Name:ABLE NURSE DELEGATION & SVCS, LLC
Entity type:Organization
Organization Name:ABLE NURSE DELEGATION & SVCS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RND
Authorized Official - Prefix:
Authorized Official - First Name:ALEATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:425-398-7862
Mailing Address - Street 1:19128 168TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-6493
Mailing Address - Country:US
Mailing Address - Phone:425-398-7862
Mailing Address - Fax:
Practice Address - Street 1:19128 168TH AVE NE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-6493
Practice Address - Country:US
Practice Address - Phone:425-398-7862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN0098275251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care