Provider Demographics
NPI:1609551647
Name:MARYLANDHEALTHCARE STAFFING SERVICES
Entity Type:Organization
Organization Name:MARYLANDHEALTHCARE STAFFING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AYETI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-325-3597
Mailing Address - Street 1:4001 CENTURY RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-2517
Mailing Address - Country:US
Mailing Address - Phone:443-325-3597
Mailing Address - Fax:443-452-2147
Practice Address - Street 1:499C BEAUMONT AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-4355
Practice Address - Country:US
Practice Address - Phone:443-325-3597
Practice Address - Fax:443-452-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health