Organization
NURSE SHARKS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER KAY AGOSTI RN, CWCA, CFCN (PRESIDENT)
(814) 787-7365
Entity
Organization
Contact information
Practice address
661 BYRNEDALE RD, WEEDVILLE, PA 15868-1515
(814) 787-7365
(888) 398-6221
Mailing address
405 SHERWOOD DR, KITTANNING, PA 16201-1973
(814) 787-7365
(888) 398-6221
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
SP009869
PA
314000000X
Skilled Nursing Facility
Primary
SP009869
PA
Other
Enumeration date
07/23/2010
Last updated
09/08/2010
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