Healthcare Provider Details

I. General information

NPI: 1093700205
Provider Name (Legal Business Name): NIGHTINGALE ERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 05/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 WHITE BLUFF RD STE 301
SAVANNAH GA
31406-4668
US

IV. Provider business mailing address

9100 WHITE BLUFF RD STE 301
SAVANNAH GA
31406-4668
US

V. Phone/Fax

Practice location:
  • Phone: 912-354-3727
  • Fax: 912-691-4716
Mailing address:
  • Phone: 912-354-3727
  • Fax: 912-691-4716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. HAROLD CLARK SIMS II
Title or Position: CEO
Credential: MBA
Phone: 912-355-6472