MEDICARE: A-1 NURSING SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		MI

General Provider Information

NPI Number	:	1881817344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-1 NURSING SERVICES, LLC

Provider Business Mailing Address
First Line	:	3021 SCHOEDEL RD
Second Line	:
City	:	MANISTEE
State	:	MI
Zip	:	49660-9753
Country	:	US
Telephone Number	:	231-398-9350
Fax Number	:	231-398-9351

Provider Business Practice Location Address
First Line	:	3021 SCHOEDEL RD
Second Line	:
City	:	MANISTEE
State	:	MI
Zip	:	49660-9753
Country	:	US
Telephone Number	:	231-398-9350
Fax Number	:	231-398-9351

Authorized Official
Title or Position	:	MEMBER PRESIDENT
Name	:	MRS. MELDA L ANDERSON
Credential	:	REGISTERED NURSE
Telephone Number	:	231-398-9350

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/21/2022

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