Healthcare Provider Details
I. General information
NPI: 1225294226
Provider Name (Legal Business Name): 247 ALLSTAFF WEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2008
Last Update Date: 09/02/2025
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2450 VENTURE OAKS WAY STE 200
SACRAMENTO CA
95833-4226
US
IV. Provider business mailing address
3824 CEDAR SPRINGS RD STE 118
DALLAS TX
75219-4136
US
V. Phone/Fax
- Phone: 888-788-5424
- Fax:
- Phone: 469-484-6020
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EDWARD
NAVALES
Title or Position: PRESIDENT
Credential:
Phone: 469-484-6020