MEDICARE: D & M HEALTHCARE STAFFING SOLUTIONS, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1902210461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D & M HEALTHCARE STAFFING SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	2051 ROSA PARKS BLVD
Second Line	:	STE. 1022
City	:	DETROIT
State	:	MI
Zip	:	48216-1556
Country	:	US
Telephone Number	:	313-808-0744
Fax Number	:	313-731-0611

Provider Business Practice Location Address
First Line	:	2051 ROSA PARKS BLVD
Second Line	:	STE. 1022
City	:	DETROIT
State	:	MI
Zip	:	48216-1556
Country	:	US
Telephone Number	:	313-808-0744
Fax Number	:	313-731-0611

Authorized Official
Title or Position	:	CEO
Name	:	MONIQUE TYLER
Credential	:
Telephone Number	:	313-354-2050

Provider Enumeration Date	:	06/12/2014
Last Update Date	:	07/16/2014

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