Organization
PDN NURSING, INC
Active
Other names
Nursing PRN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL M STARNS (C.E.O.)
(225) 262-9741
Entity
Organization
Contact information
Practice address
1859 AVENUE OF AMERICA, BUILDING 5, MONROE, LA 71201-4529
(318) 324-0144
(318) 324-0145
Mailing address
1859 AVENUE OF AMERICA, BUILDING 5, MONROE, LA 71201-4529
(318) 324-0144
(318) 324-0145
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
6260
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103128
—
LA
Enumeration date
10/26/2006
Last updated
08/22/2020
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