Healthcare Provider Details

I. General information

NPI: 1932325842
Provider Name (Legal Business Name): R&DMEDICALSTAFFING,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 S UNIVERSITY AVE
LITTLE ROCK AR
72204-2605
US

IV. Provider business mailing address

1425 S UNIVERSITY AVE
LITTLE ROCK AR
72204-2605
US

V. Phone/Fax

Practice location:
  • Phone: 501-661-9995
  • Fax: 501-661-9980
Mailing address:
  • Phone: 501-661-9995
  • Fax: 501-661-9980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RUSSELL JOHNSON
Title or Position: OWNER
Credential: RN
Phone: 501-661-9995