Organization
NIGHTINGALE STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD C SIMS II (PRESIDENT/CEO)
(912) 355-6472
Entity
Organization
Contact information
Practice address
9100 WHITE BLUFF RD STE 301, SAVANNAH, GA 31406-4670
(912) 355-6472
(912) 691-4716
Mailing address
7B ALLEN-CAIL DRIVE, STATESBORO, GA 30458
(800) 731-8003
(912) 681-4165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
016R0006
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000407965H
—
GA
05
—
000407965N
—
GA
Enumeration date
07/14/2009
Last updated
07/14/2009
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