Healthcare Provider Details

I. General information

NPI: 1124566229
Provider Name (Legal Business Name): RESOURCE CONNECT STAFFING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 02/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3654 W 60TH ST
LOS ANGELES CA
90043-2906
US

IV. Provider business mailing address

3654 W 60TH ST
LOS ANGELES CA
90043-2906
US

V. Phone/Fax

Practice location:
  • Phone: 323-291-3500
  • Fax: 323-291-3510
Mailing address:
  • Phone: 323-291-3500
  • Fax: 323-291-3510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number550003757
License Number StateCA

VIII. Authorized Official

Name: JASON BALFANY
Title or Position: MANAGING MEMBER
Credential:
Phone: 562-216-3290