Provider Demographics
NPI:1447900436
Name:NURSETEL
Entity type:Organization
Organization Name:NURSETEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-264-3009
Mailing Address - Street 1:PO BOX 590
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36601-0590
Mailing Address - Country:US
Mailing Address - Phone:251-264-3009
Mailing Address - Fax:251-973-8212
Practice Address - Street 1:8160 REALCO LN
Practice Address - Street 2:
Practice Address - City:CITRONELLE
Practice Address - State:AL
Practice Address - Zip Code:36522-2445
Practice Address - Country:US
Practice Address - Phone:251-264-3009
Practice Address - Fax:251-973-8212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No385H00000XRespite Care FacilityRespite Care