Provider Demographics
NPI:1093018582
Name:SOUTHWEST MEDICAL STAFFING, LLC.
Entity Type:Organization
Organization Name:SOUTHWEST MEDICAL STAFFING, LLC.
Other - Org Name:SOUTHWEST MEDICAL HOME HEALTH AND HOSPICE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:AKINNUSOTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-617-5500
Mailing Address - Street 1:4203 GARDENDALE ST
Mailing Address - Street 2:SUITE 224
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3174
Mailing Address - Country:US
Mailing Address - Phone:210-617-5500
Mailing Address - Fax:210-617-5503
Practice Address - Street 1:4203 GARDENDALE ST STE 224
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3174
Practice Address - Country:US
Practice Address - Phone:210-617-5500
Practice Address - Fax:210-617-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health