Organization
MOBILE NURSING SERVICE LLC
Active
Organization
MOBILE NURSING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORETTA LUKE (ORGANIZER)
(678) 469-8616
Entity
Organization
Contact information
Practice address
829 SCOTT RD, RIVERDALE, GA 30296
(678) 469-8616
Mailing address
829 SCOTT RD, RIVERDALE, GA 30296
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
201237164
GA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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