Provider Demographics
NPI:1699039925
Name:GODSON HEALTHCARE STAFFING
Entity Type:Organization
Organization Name:GODSON HEALTHCARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-229-3203
Mailing Address - Street 1:PO BOX 8394
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36689-0394
Mailing Address - Country:US
Mailing Address - Phone:251-229-3203
Mailing Address - Fax:251-343-3816
Practice Address - Street 1:6816 BAYBORO CT
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-4203
Practice Address - Country:US
Practice Address - Phone:251-229-3203
Practice Address - Fax:251-343-3816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL095197251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health