Provider Demographics
NPI:1598922635
Name:GREEN CARE STAFFING INC.
Entity Type:Organization
Organization Name:GREEN CARE STAFFING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMILIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-554-5417
Mailing Address - Street 1:2750 SW 87TH AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3254
Mailing Address - Country:US
Mailing Address - Phone:305-554-5417
Mailing Address - Fax:305-554-5419
Practice Address - Street 1:2750 SW 87TH AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3254
Practice Address - Country:US
Practice Address - Phone:305-554-5417
Practice Address - Fax:305-554-5419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPENDING251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care