Provider Demographics
NPI:1861636433
Name:EMMANUEL MULTI-SERVICES OF MIAMI,LLC
Entity Type:Organization
Organization Name:EMMANUEL MULTI-SERVICES OF MIAMI,LLC
Other - Org Name:INTELLI STAFFING AND RECRUITING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:TOUSSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MHSA
Authorized Official - Phone:954-241-1473
Mailing Address - Street 1:2702 SW 127TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3846
Mailing Address - Country:US
Mailing Address - Phone:866-582-7482
Mailing Address - Fax:954-499-5550
Practice Address - Street 1:2702 SW 127TH AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-3846
Practice Address - Country:US
Practice Address - Phone:866-582-7482
Practice Address - Fax:954-499-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2277251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLATN412117Medicaid