Healthcare Provider Details

I. General information

NPI: 1346594066
Provider Name (Legal Business Name): QUALITY HEALTHCARE STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2012
Last Update Date: 11/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 S MICHIGAN AVE 714 S MICHIGAN
SAGINAW MI
48602-1528
US

IV. Provider business mailing address

714 S MICHIGAN AVE 714 S MICHIGAN
SAGINAW MI
48602-1528
US

V. Phone/Fax

Practice location:
  • Phone: 989-401-2480
  • Fax:
Mailing address:
  • Phone: 989-401-2480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. MELVA GUERRA
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 989-401-2480