Healthcare Provider Details

I. General information

NPI: 1932952447
Provider Name (Legal Business Name): MIDDLETON HEALTHCARE STAFFING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 04/08/2024
Certification Date: 04/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 GUINNESS LN
MONCKS CORNER SC
29461-7478
US

IV. Provider business mailing address

164 GUINNESS LN
MONCKS CORNER SC
29461-7478
US

V. Phone/Fax

Practice location:
  • Phone: 843-480-8059
  • Fax:
Mailing address:
  • Phone: 843-480-8059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: APRIL MIDDLETON
Title or Position: CEO
Credential:
Phone: 843-480-8059