Organization
NIGHTINGALE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE LOISEAU (OWNER/ DIRECTOR OF NURSING)
(732) 723-7995
Entity
Organization
Contact information
Practice address
497 LAUREL AVE, BRICK, NJ 08723-5316
(732) 723-7995
(732) 561-5312
Mailing address
497 LAUREL AVE, BRICK, NJ 08723-5316
(732) 865-6481
(732) 561-5312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251F00000X
Home Infusion Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/22/2022
Last updated
09/13/2022
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