Healthcare Provider Details

I. General information

NPI: 1033346663
Provider Name (Legal Business Name): CONSTANT TRANSITIONS STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 06/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6642 PARK DR
DAPHNE AL
36526-5228
US

IV. Provider business mailing address

6919 PARK DR PO BOX 924
DAPHNE AL
36526-5231
US

V. Phone/Fax

Practice location:
  • Phone: 251-625-2882
  • Fax: 251-625-2890
Mailing address:
  • Phone: 251-625-2882
  • Fax: 251-625-2890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number9865
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number9865
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number9865
License Number StateAL

VIII. Authorized Official

Name: MS. TRINA MICHELLE GULLEY
Title or Position: OWNER
Credential: REGISTERED NURSE
Phone: 251-625-2882