MEDICARE: AUNTIE ACE STAFFING INC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1326476219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUNTIE ACE STAFFING INC

Provider Business Mailing Address
First Line	:	239 ENSLEY ST
Second Line	:
City	:	HOWARD CITY
State	:	MI
Zip	:	49329-8656
Country	:	US
Telephone Number	:	231-937-4514
Fax Number	:	231-937-7246

Provider Business Practice Location Address
First Line	:	239 ENSLEY ST
Second Line	:
City	:	HOWARD CITY
State	:	MI
Zip	:	49329-8656
Country	:	US
Telephone Number	:	231-937-4514
Fax Number	:	231-937-7246

Authorized Official
Title or Position	:	CEO
Name	:	MS. ROBERTA L MYSELS
Credential	:
Telephone Number	:	231-937-4514

Provider Enumeration Date	:	10/31/2013
Last Update Date	:	10/31/2013

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Directions to “AUNTIE ACE STAFFING INC ” Practice Location

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