Healthcare Provider Details

I. General information

NPI: 1073923785
Provider Name (Legal Business Name): DCC STAFFING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 05/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15335 MORRISON ST STE 220
SHERMAN OAKS CA
91403-6700
US

IV. Provider business mailing address

15335 MORRISON ST STE 220
SHERMAN OAKS CA
91403-6700
US

V. Phone/Fax

Practice location:
  • Phone: 818-906-9528
  • Fax: 818-906-9527
Mailing address:
  • Phone: 818-906-9528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number000006061600017
License Number StateCA

VIII. Authorized Official

Name: MS. MA THERESITA MACARANAS BENITEZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 818-789-5888