Healthcare Provider Details

I. General information

NPI: 1871753962
Provider Name (Legal Business Name): VOYAGE STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 06/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 N AIRPORT DR
HIGHLAND SPRINGS VA
23075-2100
US

IV. Provider business mailing address

PO BOX 2153
HATTIESBURG MS
39403-2153
US

V. Phone/Fax

Practice location:
  • Phone: 804-737-0172
  • Fax:
Mailing address:
  • Phone: 601-325-4341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateMS

VIII. Authorized Official

Name: JOSH GERDES
Title or Position: RECRUITER
Credential:
Phone: 800-798-6035