Healthcare Provider Details

I. General information

NPI: 1740898451
Provider Name (Legal Business Name): TOTAL HEALTHCARE STAFFING CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 07/20/2020
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2403 DEER CREEK DR
PLAINSBORO NJ
08536-3336
US

IV. Provider business mailing address

2403 DEER CREEK DR
PLAINSBORO NJ
08536-3336
US

V. Phone/Fax

Practice location:
  • Phone: 954-464-9437
  • Fax:
Mailing address:
  • Phone: 954-464-9437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: LOIS DAVIS
Title or Position: CEO
Credential:
Phone: 954-464-9437