Provider Demographics
NPI:1568290591
Name:NURSING MANAGEMENT INC
Entity type:Organization
Organization Name:NURSING MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES / CEO / DIR OF NSG
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVALIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-385-9196
Mailing Address - Street 1:PO BOX 6489
Mailing Address - Street 2:
Mailing Address - City:DIBERVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39540-6489
Mailing Address - Country:US
Mailing Address - Phone:228-385-9196
Mailing Address - Fax:228-594-0215
Practice Address - Street 1:925 TOMMY MUNRO DR STE E
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-2134
Practice Address - Country:US
Practice Address - Phone:228-385-9196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00118625Medicaid