Provider Demographics
NPI:1609370410
Name:DSM STAFFING, INC.
Entity Type:Organization
Organization Name:DSM STAFFING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT ADMINITRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-545-9880
Mailing Address - Street 1:10665 SW 190TH ST STE 3202
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7654
Mailing Address - Country:US
Mailing Address - Phone:786-732-6329
Mailing Address - Fax:786-732-6329
Practice Address - Street 1:10665 SW 190TH ST STE 3202
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7654
Practice Address - Country:US
Practice Address - Phone:786-732-6329
Practice Address - Fax:786-732-6329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5223413164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty