Healthcare Provider Details

I. General information

NPI: 1467539171
Provider Name (Legal Business Name): UNITED NURSING SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 PORTAGE ST
KALAMAZOO MI
49001-3749
US

IV. Provider business mailing address

2925 PORTAGE ST
KALAMAZOO MI
49001-3749
US

V. Phone/Fax

Practice location:
  • Phone: 269-226-9363
  • Fax: 269-226-9708
Mailing address:
  • Phone: 269-226-9363
  • Fax: 269-226-9708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARY EVELYN WILLS
Title or Position: ADMINISTRATOR
Credential: MSN, BS, RN
Phone: 269-226-9363