Provider Demographics
NPI:1396163051
Name:AMICUS NURSING SERVICES INC
Entity type:Organization
Organization Name:AMICUS NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERLYN
Authorized Official - Middle Name:VICRORIA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-283-0676
Mailing Address - Street 1:18412 CHARITY LN
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-3246
Mailing Address - Country:US
Mailing Address - Phone:301-283-0676
Mailing Address - Fax:301-283-0678
Practice Address - Street 1:18412 CHARITY LN
Practice Address - Street 2:
Practice Address - City:ACCOKEEK
Practice Address - State:MD
Practice Address - Zip Code:20607-3246
Practice Address - Country:US
Practice Address - Phone:301-283-0676
Practice Address - Fax:301-283-0678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-14638251F00000X
MDR2505251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion