Healthcare Provider Details

I. General information

NPI: 1679879423
Provider Name (Legal Business Name): ASSURANT HEALTHCARE STAFFING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 HUDSON LN STE A
MONROE LA
71201-5871
US

IV. Provider business mailing address

111 HUDSON LN STE A
MONROE LA
71201-5871
US

V. Phone/Fax

Practice location:
  • Phone: 318-807-0858
  • Fax: 318-807-0859
Mailing address:
  • Phone: 318-807-0858
  • Fax: 318-807-0859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RAYMOND AIKEN
Title or Position: PRESIDENT
Credential:
Phone: 318-807-0858