MEDICARE: ASAP 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1720635410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASAP STAFFING LLC

Provider Business Mailing Address
First Line	:	5700 EXECUTIVE DR STE 1
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-5301
Country	:	US
Telephone Number	:	517-719-0122
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 EXECUTIVE DR STE 1
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-5301
Country	:	US
Telephone Number	:	517-719-0122
Fax Number	:	517-887-9802

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	KIRK D. LEWIS
Credential	:	DIRECTOR OF NURSING
Telephone Number	:	517-719-0122

Provider Enumeration Date	:	08/19/2019
Last Update Date	:	08/19/2019

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