# NURSE SHARKS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932412582
- **Authorized official:** MRS. JENNIFER KAY AGOSTI RN, CWCA, CFCN (PRESIDENT)
- **Authorized official phone:** (814) 787-7365

## Contact information

- **Practice address:** 661 BYRNEDALE RD, WEEDVILLE, PA 15868-1515
- **Practice address phone:** (814) 787-7365
- **Practice address fax:** (888) 398-6221
- **Mailing address:** 405 SHERWOOD DR, KITTANNING, PA 16201-1973
- **Mailing address phone:** (814) 787-7365
- **Mailing address fax:** (888) 398-6221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | SP009869 | PA | — |
| 314000000X | Skilled Nursing Facility | SP009869 | PA | Yes |

## Other

- **Enumeration date:** 07/23/2010
- **Last updated:** 09/08/2010