Provider Demographics
NPI:1659424364
Name:SPARTAN HEALTHCARE STAFFING SERVICES, INC.
Entity Type:Organization
Organization Name:SPARTAN HEALTHCARE STAFFING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:NANG
Authorized Official - Last Name:ACHUONJEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-203-0190
Mailing Address - Street 1:4572 S HAGADORN RD
Mailing Address - Street 2:BEACON PLACE, SUITE 1E
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-5385
Mailing Address - Country:US
Mailing Address - Phone:517-203-0190
Mailing Address - Fax:517-203-0174
Practice Address - Street 1:4572 S HAGADORN RD
Practice Address - Street 2:BEACON PLACE, SUITE 1E
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-5385
Practice Address - Country:US
Practice Address - Phone:517-203-0190
Practice Address - Fax:517-203-0174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health