Provider Demographics
NPI:1417241423
Name:MECCA STAFFING SOLUTIONS MIHP LLC
Entity Type:Organization
Organization Name:MECCA STAFFING SOLUTIONS MIHP LLC
Other - Org Name:MECCA STAFFING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AYANNA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:HUTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-978-3923
Mailing Address - Street 1:15200 E JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48230-1304
Mailing Address - Country:US
Mailing Address - Phone:313-978-3923
Mailing Address - Fax:313-458-7592
Practice Address - Street 1:15200 E JEFFERSON
Practice Address - Street 2:SUITE 101 C
Practice Address - City:GROSSE POINTE PARK
Practice Address - State:MI
Practice Address - Zip Code:48230-1033
Practice Address - Country:US
Practice Address - Phone:313-978-3923
Practice Address - Fax:313-458-7592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management