MEDICARE: UNITED MEDICAL STAFFING, INC

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	251J00000X	Nursing Care Agency	34919946D	LA

General Provider Information

NPI Number	:	1063728988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED MEDICAL STAFFING, INC

Provider Business Mailing Address
First Line	:	109 S COLLEGE RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-3225
Country	:	US
Telephone Number	:	337-233-2096
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 S COLLEGE RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-3225
Country	:	US
Telephone Number	:	337-233-2096
Fax Number	:

Authorized Official
Title or Position	:	LPN/OFFICE MANAGER
Name	:	SHANNON A LOUVIERE
Credential	:	LPN
Telephone Number	:	337-233-2096

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	08/30/2010

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