Provider Demographics
NPI:1437911922
Name:MEDIPRO STAFFING, LLC
Entity Type:Organization
Organization Name:MEDIPRO STAFFING, LLC
Other - Org Name:MEDPRO STAFFING
Other - Org Type:Other Name
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA CORAZON
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-999-0188
Mailing Address - Street 1:2720 E THOMAS RD STE B200-B
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-8299
Mailing Address - Country:US
Mailing Address - Phone:480-999-0188
Mailing Address - Fax:480-452-0455
Practice Address - Street 1:2720 E THOMAS RD STE B200-B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-8299
Practice Address - Country:US
Practice Address - Phone:480-999-0188
Practice Address - Fax:480-452-0455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care