Provider Demographics
NPI:1588748065
Name:NURSE-CON CORPORATION
Entity type:Organization
Organization Name:NURSE-CON CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT / BOARD OF DIRECTORS
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-348-0134
Mailing Address - Street 1:221 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:MARLIN
Mailing Address - State:TX
Mailing Address - Zip Code:76661-2160
Mailing Address - Country:US
Mailing Address - Phone:254-883-5548
Mailing Address - Fax:254-803-2407
Practice Address - Street 1:221 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:MARLIN
Practice Address - State:TX
Practice Address - Zip Code:76661-2160
Practice Address - Country:US
Practice Address - Phone:254-883-5548
Practice Address - Fax:254-803-2407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115348313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000475201Medicaid
TX000475201Medicaid