MEDICARE: NRS STAFFING LLC

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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1447845169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NRS STAFFING LLC

Provider Business Mailing Address
First Line	:	1380 CENTRAL PARK BLVD STE 206
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-4926
Country	:	US
Telephone Number	:	540-329-8358
Fax Number	:	540-329-8354

Provider Business Practice Location Address
First Line	:	1380 CENTRAL PARK BLVD STE 206
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-4926
Country	:	US
Telephone Number	:	540-329-8358
Fax Number	:	540-329-8354

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WALTER RICHIE
Credential	:
Telephone Number	:	540-329-8358

Provider Enumeration Date	:	03/04/2021
Last Update Date	:	03/04/2021

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