Provider Demographics
NPI:1962152173
Name:E CARES NURSING STAFF SERVICES
Entity type:Organization
Organization Name:E CARES NURSING STAFF SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:718-683-0104
Mailing Address - Street 1:849 TRAMORE DR
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6477
Mailing Address - Country:US
Mailing Address - Phone:718-683-0104
Mailing Address - Fax:
Practice Address - Street 1:849 TRAMORE DR
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6477
Practice Address - Country:US
Practice Address - Phone:718-683-0104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care