Provider Demographics
NPI:1588141923
Name:NADINE HEALTHCARE SERVISCES
Entity type:Organization
Organization Name:NADINE HEALTHCARE SERVISCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSELME-JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:756-427-3186
Mailing Address - Street 1:1073 SW MAJORCA AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3431
Mailing Address - Country:US
Mailing Address - Phone:786-427-3186
Mailing Address - Fax:
Practice Address - Street 1:1073 SW MAJORCA AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-3431
Practice Address - Country:US
Practice Address - Phone:786-427-3186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health