Healthcare Provider Details

I. General information

NPI: 1083606719
Provider Name (Legal Business Name): COMMUNITY NURSING SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 05/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 PIONEER TRCE
FLEMINGSBURG KY
41041-9665
US

IV. Provider business mailing address

115 PIONEER TRCE
FLEMINGSBURG KY
41041-9665
US

V. Phone/Fax

Practice location:
  • Phone: 606-845-2131
  • Fax: 606-845-3507
Mailing address:
  • Phone: 606-845-2131
  • Fax: 606-845-3507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100484
License Number StateKY

VIII. Authorized Official

Name: MARY C SAVAGE
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 606-845-2131