Organization
NATIONS CARELINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE JACQUET R.N. (INDEP. VENDOR)
(941) 284-6965
Entity
Organization
Contact information
Practice address
862 BOUNDARY BLVD, ROTONDA WEST, FL 33947-2866
(941) 284-6965
(941) 697-7884
Mailing address
862 BOUNDARY BLVD, ROTONDA WEST, FL 33947-2866
(941) 284-6965
(941) 697-7884
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
RN9197731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9197731
REGISTERED NURSE
FL
Enumeration date
02/23/2011
Last updated
02/23/2011
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