Healthcare Provider Details
I. General information
NPI: 1366941601
Provider Name (Legal Business Name): REVERENT NURSING CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/01/2018
Last Update Date: 02/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2342 BEACON HILL RD
LANCASTER PA
17601-2810
US
IV. Provider business mailing address
2342 BEACON HILL RD
LANCASTER PA
17601-2810
US
V. Phone/Fax
- Phone: 717-330-9892
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WA2000X |
| Taxonomy | Administrator Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEBORAH
L.
HONSINGER
Title or Position: PRESIDENT
Credential: RN
Phone: 717-330-9892