MEDICARE: ALL STATES STAFFING GROUP AND HEALTHCARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1134750623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL STATES STAFFING GROUP AND HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	521 MOUNT HOPE ST # 301
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-2611
Country	:	US
Telephone Number	:	508-316-0819
Fax Number	:	508-316-2968

Provider Business Practice Location Address
First Line	:	521 MOUNT HOPE ST # 301
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-2611
Country	:	US
Telephone Number	:	508-316-0819
Fax Number	:	508-316-2968

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	EVENS PIERRE
Credential	:
Telephone Number	:	508-316-0819

Provider Enumeration Date	:	02/03/2020
Last Update Date	:	02/14/2020

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