Provider Demographics
NPI:1184858391
Name:STAFFING SOURCE PERSONNEL, INC.
Entity Type:Organization
Organization Name:STAFFING SOURCE PERSONNEL, INC.
Other - Org Name:OCEAN HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:OLSHANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-658-4663
Mailing Address - Street 1:15340 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2917
Mailing Address - Country:US
Mailing Address - Phone:248-658-4663
Mailing Address - Fax:313-624-9515
Practice Address - Street 1:15340 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2917
Practice Address - Country:US
Practice Address - Phone:248-658-4663
Practice Address - Fax:313-624-9515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health