Healthcare Provider Details

I. General information

NPI: 1942488028
Provider Name (Legal Business Name): PSI STAFFING SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 01/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3493 HIGH RIDGE RD
BOYNTON BEACH FL
33426-8739
US

IV. Provider business mailing address

PO BOX 740524
BOYNTON BEACH FL
33474-0524
US

V. Phone/Fax

Practice location:
  • Phone: 561-740-4640
  • Fax:
Mailing address:
  • Phone: 561-740-4640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number567
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number313
License Number StateFL

VIII. Authorized Official

Name: MISS SYLVIA COOPER
Title or Position: PRESIDENT
Credential:
Phone: 561-740-4640