Organization
BINTY NURSES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED DEEN YANSANE (ADMINISTRATOR)
(484) 469-4692
Entity
Organization
Contact information
Practice address
747 N 63RD ST, PHILADELPHIA, PA 19151-3804
(484) 469-4692
(484) 469-4694
Mailing address
747 N 63RD ST, PHILADELPHIA, PA 19151-3804
(484) 469-4692
(484) 469-4694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN593005
PA
164W00000X
Licensed Practical Nurse
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CER-00082144
PA
376K00000X
Nurse's Aide
9904407
PA
385H00000X
Respite Care
CER-00082144
PA
Other
Enumeration date
04/25/2008
Last updated
06/03/2015
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