Provider Demographics
NPI:1578113700
Name:PREMIER MEDICAL STAFFING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PREMIER MEDICAL STAFFING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:VARNIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-402-0859
Mailing Address - Street 1:46 JUROCKO AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-2527
Mailing Address - Country:US
Mailing Address - Phone:484-402-0859
Mailing Address - Fax:
Practice Address - Street 1:46 JUROCKO AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-2527
Practice Address - Country:US
Practice Address - Phone:484-402-0859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care