Provider Demographics
NPI:1164668042
Name:HEALTHSTAA EMPLOYMENT SERVICES, INC
Entity Type:Organization
Organization Name:HEALTHSTAA EMPLOYMENT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNALIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:THET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-453-5172
Mailing Address - Street 1:439 S MAIN ST
Mailing Address - Street 2:160
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6704
Mailing Address - Country:US
Mailing Address - Phone:248-453-5172
Mailing Address - Fax:
Practice Address - Street 1:4945 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3251
Practice Address - Country:US
Practice Address - Phone:313-581-0744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-26
Last Update Date:2008-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1179962283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital