Healthcare Provider Details

I. General information

NPI: 1598678278
Provider Name (Legal Business Name): WISE MEDICAL STAFFING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10620 N 43RD AVE STE 9
GLENDALE AZ
85304-4150
US

IV. Provider business mailing address

6 HEALTH DR
CHILLICOTHEE OH
45601-8604
US

V. Phone/Fax

Practice location:
  • Phone: 740-775-4108
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY KISER
Title or Position: INTAKE MANAGER
Credential:
Phone: 740-775-4108