Organization
TUCKER NURSE STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CHANEL HART (OWNER)
(336) 265-1276
Entity
Organization
Contact information
Practice address
1424 SEDONA LN, MC LEANSVILLE, NC 27301-9801
(336) 265-2765
Mailing address
5711 MCLEANSVILLE RD UNIT 548, MC LEANSVILLE, NC 27301-0257
(336) 265-2765
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
251J00000X
Nursing Care Agency
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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