Organization
TEAM NURSE, INC.
Active
Other names
Team Nurse Roanoke
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D. MIZE (PRESIDENT)
(434) 575-5200
Entity
Organization
Contact information
Practice address
4041 MELROSE AVE NW, ROANOKE, VA 24017-2635
(540) 344-1331
(540) 344-2113
Mailing address
PO BOX 776, SOUTH BOSTON, VA 24592-0776
(434) 575-5200
(434) 575-5204
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
HCO-10317
VA
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780769471
PRIVATE DUTY
VA
01
—
HCO-317
VIRGINIA STATE LICENSE
VA
Enumeration date
10/25/2006
Last updated
08/15/2019
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