Provider Demographics
NPI:1639496128
Name:HEARTLAND SOCIAL WORK STAFFING, LLC
Entity Type:Organization
Organization Name:HEARTLAND SOCIAL WORK STAFFING, LLC
Other - Org Name:HEARTLAND SOCIAL WORK SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMEBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JD
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:HOAGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-989-0175
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:CHINA SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:76633-0160
Mailing Address - Country:US
Mailing Address - Phone:208-989-0175
Mailing Address - Fax:254-836-1446
Practice Address - Street 1:1648 R B BAKER LN
Practice Address - Street 2:
Practice Address - City:VALLEY MILLS
Practice Address - State:TX
Practice Address - Zip Code:76689-2640
Practice Address - Country:US
Practice Address - Phone:208-989-0175
Practice Address - Fax:254-836-1446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management