# FOUR CORNERS NURSING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FOUR CORNERS NURSING SERVICERS LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366291916
- **Authorized official:** MRS. NICOLA WEBB (ADMINISTRATOR / OWNER)
- **Authorized official phone:** (954) 661-9741

## Contact information

- **Practice address:** 1 E BROWARD BLVD STE 700, FORT LAUDERDALE, FL 33301-1876
- **Practice address phone:** (954) 661-9741
- **Mailing address:** 760 W EVANSTON CIR, FORT LAUDERDALE, FL 33312-2615
- **Mailing address phone:** (954) 661-9741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 05/16/2024
- **Last updated:** 08/30/2024