Healthcare Provider Details

I. General information

NPI: 1457796914
Provider Name (Legal Business Name): MOBILE NURSING OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2013
Last Update Date: 04/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1758 SPRING HILL AVE
MOBILE AL
36607-3508
US

IV. Provider business mailing address

145 N HIGHLAND DR
MANY LA
71449-3715
US

V. Phone/Fax

Practice location:
  • Phone: 251-479-0551
  • Fax: 251-479-1732
Mailing address:
  • Phone: 318-590-0007
  • Fax: 318-590-1711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JACK H SANDERS
Title or Position: CO-MANAGER
Credential: NFA
Phone: 318-590-0007