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NPI Code Detail

MEDICARE: PREMIER HEALTHCARE STAFFING LLC

MEDICARE: PREMIER HEALTHCARE 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
1252Y00000XEarly Intervention Provider AgencyHP0181200NJ

General Provider Information

NPI Number : 1932521309
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER HEALTHCARE STAFFING LLC
Provider Business Mailing Address
First Line : 11 LONG BRANCH WAY
Second Line :
City : WEST ORANGE
State : NJ
Zip : 07052-4947
Country : US
Telephone Number : 973-857-0100
Fax Number : 973-857-0108
Provider Business Practice Location Address
First Line : 25 POMPTON AVE
Second Line : SUITE 302
City : VERONA
State : NJ
Zip : 07044-2941
Country : US
Telephone Number : 973-857-0100
Fax Number : 973-857-0100
Authorized Official
Title or Position : DIRECTOR
Name : MR. ROBERT MCMAHON
Credential : OT
Telephone Number : 973-857-0100
Provider Enumeration Date : 01/20/2014
Last Update Date : 01/20/2014

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Directions to “PREMIER HEALTHCARE STAFFING LLC ” Practice Location

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