Healthcare Provider Details

I. General information

NPI: 1578788733
Provider Name (Legal Business Name): SUNBELT STAFFING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 GRIFFIN AVE
LADY LAKE FL
32159-8101
US

IV. Provider business mailing address

15 LAKE DIAMOND AVE
OCALA FL
34472-5033
US

V. Phone/Fax

Practice location:
  • Phone: 352-750-6619
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number31400000X
License Number StateFL

VIII. Authorized Official

Name: ANNA LAFLEUR
Title or Position: HUMAN RESOURCES
Credential:
Phone: 800-659-1522