Healthcare Provider Details

I. General information

NPI: 1700165263
Provider Name (Legal Business Name): NRINC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 VENTURE CT
LEXINGTON KY
40511-1295
US

IV. Provider business mailing address

101 VENTURE CT
LEXINGTON KY
40511-1295
US

V. Phone/Fax

Practice location:
  • Phone: 859-259-9687
  • Fax:
Mailing address:
  • Phone: 859-259-9687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number720205
License Number StateKY

VIII. Authorized Official

Name: VICKI HOUSE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 859-259-9687