Provider Demographics
NPI:1780864652
Name:MEDICAL STAFFING PROS - CARELINE SERVICES
Entity Type:Organization
Organization Name:MEDICAL STAFFING PROS - CARELINE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-216-1881
Mailing Address - Street 1:35 JOURNAL SQ STE 923
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4011
Mailing Address - Country:US
Mailing Address - Phone:201-216-1881
Mailing Address - Fax:201-216-9778
Practice Address - Street 1:35 JOURNAL SQ STE 923
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4011
Practice Address - Country:US
Practice Address - Phone:201-216-1881
Practice Address - Fax:201-216-9778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0070300251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care