Healthcare Provider Details

I. General information

NPI: 1437489044
Provider Name (Legal Business Name): MED NATIONAL STAFFING SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2010
Last Update Date: 04/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29401 STEPHENSON HWY
MADISON HEIGHTS MI
48071-2331
US

IV. Provider business mailing address

29401 STEPHENSON HWY
MADISON HEIGHTS MI
48071-2331
US

V. Phone/Fax

Practice location:
  • Phone: 248-292-2966
  • Fax: 248-292-2967
Mailing address:
  • Phone: 248-292-2966
  • Fax: 248-292-2967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBORA L SCARLETT
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 248-292-2966