Provider Demographics
NPI:1447510144
Name:FLORENCE NIGHT AND DAY LLC
Entity type:Organization
Organization Name:FLORENCE NIGHT AND DAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEUTSCHENDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-684-3570
Mailing Address - Street 1:2830 NW 32ND ST
Mailing Address - Street 2:STE 302
Mailing Address - City:NEWCASTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73065-6606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2830 NW 32ND ST
Practice Address - Street 2:STE 302
Practice Address - City:NEWCASTLE
Practice Address - State:OK
Practice Address - Zip Code:73065-6606
Practice Address - Country:US
Practice Address - Phone:800-684-3570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7978251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care