Healthcare Provider Details

I. General information

NPI: 1023934064
Provider Name (Legal Business Name): SARIEL STAFFING AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 SUNNYSIDE ST
BOSTON MA
02136-1652
US

IV. Provider business mailing address

76 SUNNYSIDE ST
BOSTON MA
02136-1652
US

V. Phone/Fax

Practice location:
  • Phone: 978-328-9309
  • Fax:
Mailing address:
  • Phone: 978-328-9309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VICTOR EJIGAH
Title or Position: MANAGER
Credential: PHD
Phone: 978-328-9309