Healthcare Provider Details

I. General information

NPI: 1013380716
Provider Name (Legal Business Name): VALLEY SUPPLEMENTAL STAFFING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4443 MILLER RD
FLINT MI
48507
US

IV. Provider business mailing address

4443 MILLER RD
FLINT MI
48507-1123
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-1185
  • Fax: 810-733-5897
Mailing address:
  • Phone: 810-733-1185
  • Fax: 810-733-5897

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: JAMES E BINSON
Title or Position: OWNER
Credential:
Phone: 586-755-2300