Provider Demographics
NPI:1760136329
Name:EMS STAFFING SOLUTIONS
Entity Type:Organization
Organization Name:EMS STAFFING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NNEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBAEZE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:602-741-7651
Mailing Address - Street 1:3535 W HOPI TRL
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-1408
Mailing Address - Country:US
Mailing Address - Phone:602-741-7651
Mailing Address - Fax:
Practice Address - Street 1:3535 W HOPI TRL
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-1408
Practice Address - Country:US
Practice Address - Phone:602-741-7651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:23319634
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty