Healthcare Provider Details

I. General information

NPI: 1023025178
Provider Name (Legal Business Name): ABC STAFFING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 12/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 NORTHFIELD RD STE C
BEDFORD HEIGHTS OH
44146-1153
US

IV. Provider business mailing address

5225 NORTHFIELD RD STE C
BEDFORD HEIGHTS OH
44146-1153
US

V. Phone/Fax

Practice location:
  • Phone: 216-332-1600
  • Fax: 216-332-1601
Mailing address:
  • Phone: 216-332-1600
  • Fax: 216-332-1601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: ELIZABETH ELLIOTT
Title or Position: ADMINISTRATOR/CEO
Credential:
Phone: 216-332-1600