Healthcare Provider Details

I. General information

NPI: 1578869533
Provider Name (Legal Business Name): LITE SOLUTIONS MEDICAL STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 02/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13610 N 51ST AVE APT 203
GLENDALE AZ
85304-1413
US

IV. Provider business mailing address

940 E ADELAIDE DR # 1
TUCSON AZ
85719-2571
US

V. Phone/Fax

Practice location:
  • Phone: 520-305-0358
  • Fax:
Mailing address:
  • Phone: 520-305-0358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: EVA LOUISE BRIXEY
Title or Position: OWNER
Credential: RN
Phone: 520-305-0358