Provider Demographics
NPI:1285042440
Name:HEALTHWISE MEDICAL STAFFING, LLC
Entity Type:Organization
Organization Name:HEALTHWISE MEDICAL STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:914-204-1455
Mailing Address - Street 1:10 PINE ST
Mailing Address - Street 2:2F
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4726
Mailing Address - Country:US
Mailing Address - Phone:914-204-1455
Mailing Address - Fax:
Practice Address - Street 1:10 PINE ST
Practice Address - Street 2:2F
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4726
Practice Address - Country:US
Practice Address - Phone:914-204-1455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care