MEDICARE: R&DMEDICALSTAFFING,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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1932325842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R&DMEDICALSTAFFING,INC.

Provider Business Mailing Address
First Line	:	1425 S UNIVERSITY AVE
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72204-2605
Country	:	US
Telephone Number	:	501-661-9995
Fax Number	:	501-661-9980

Provider Business Practice Location Address
First Line	:	1425 S UNIVERSITY AVE
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72204-2605
Country	:	US
Telephone Number	:	501-661-9995
Fax Number	:	501-661-9980

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RUSSELL JOHNSON
Credential	:	RN
Telephone Number	:	501-661-9995

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	08/22/2020

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