MEDICARE: 24/7 NURSE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1609636927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	24/7 NURSE STAFFING LLC

Provider Business Mailing Address
First Line	:	23323 BEECHCREST ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2305
Country	:	US
Telephone Number	:	313-522-2655
Fax Number	:

Provider Business Practice Location Address
First Line	:	23323 BEECHCREST ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2305
Country	:	US
Telephone Number	:	313-522-2655
Fax Number	:

Authorized Official
Title or Position	:	OWNER / ADMINISTRATOR
Name	:	ALI HAMMOUD
Credential	:
Telephone Number	:	313-522-2655

Provider Enumeration Date	:	03/21/2024
Last Update Date	:	03/21/2024

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