MEDICARE: ALL COUNTY 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	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1861646713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL COUNTY STAFFING, INC

Provider Business Mailing Address
First Line	:	4850 NORTH STATE ROAD #7
Second Line	:	SUITE 101
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319
Country	:	US
Telephone Number	:	800-479-9993
Fax Number	:

Provider Business Practice Location Address
First Line	:	4850 NORTH STATE ROAD #7
Second Line	:	SUITE 101
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319
Country	:	US
Telephone Number	:	800-479-9993
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MICHELLE BAKER
Credential	:
Telephone Number	:	800-479-9993

Provider Enumeration Date	:	11/05/2008
Last Update Date	:	11/05/2008

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