Healthcare Provider Details

I. General information

NPI: 1376855536
Provider Name (Legal Business Name): AUNTIE A.C.E. STAFFING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2010
Last Update Date: 07/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 ENSLEY ST
HOWARD CITY MI
49329-8656
US

IV. Provider business mailing address

239 ENSLEY ST
HOWARD CITY MI
49329-8656
US

V. Phone/Fax

Practice location:
  • Phone: 231-937-4514
  • Fax: 231-937-7246
Mailing address:
  • Phone: 231-937-4514
  • Fax: 231-937-7246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBERTA L MYSELS
Title or Position: FINANCIAL DIRECTOR
Credential:
Phone: 231-937-4514