Provider Demographics
NPI:1275153702
Name:AMENITY STAFFING INC.
Entity Type:Organization
Organization Name:AMENITY STAFFING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:O
Authorized Official - Last Name:JOHNSON-RHODEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-278-8333
Mailing Address - Street 1:4274 CLARION DR
Mailing Address - Street 2:
Mailing Address - City:CONLEY
Mailing Address - State:GA
Mailing Address - Zip Code:30288-1646
Mailing Address - Country:US
Mailing Address - Phone:678-278-8333
Mailing Address - Fax:
Practice Address - Street 1:4274 CLARION DR
Practice Address - Street 2:
Practice Address - City:CONLEY
Practice Address - State:GA
Practice Address - Zip Code:30288-1646
Practice Address - Country:US
Practice Address - Phone:678-228-4911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty