Organization
COAL MINER NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER RUSSELL (MEMBER)
(801) 725-3977
Entity
Organization
Contact information
Practice address
20 CABOT BLVD STE 300, MANSFIELD, MA 02048-1183
(970) 405-8938
Mailing address
20 CABOT BLVD STE 300, MANSFIELD, MA 02048-1183
(970) 405-8938
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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