Healthcare Provider Details

I. General information

NPI: 1972640407
Provider Name (Legal Business Name): J & K STAFFING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 STILES RD STE 103
SALEM NH
03079-2880
US

IV. Provider business mailing address

2999 N 44TH ST STE 100
PHOENIX AZ
85018-7247
US

V. Phone/Fax

Practice location:
  • Phone: 603-893-9214
  • Fax: 603-890-8728
Mailing address:
  • Phone: 480-618-5760
  • Fax: 603-890-8728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number02855
License Number StateNH

VIII. Authorized Official

Name: MIKE LOVELL
Title or Position: VICE PRESIDENT
Credential:
Phone: 480-618-5760