Provider Demographics
NPI:1942956016
Name:MIKAYLAH'S MOTIVATIONS HEALTHCARE STAFFING AGENCY, LLC
Entity Type:Organization
Organization Name:MIKAYLAH'S MOTIVATIONS HEALTHCARE STAFFING AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AGENCY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:GERI
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:412-738-0221
Mailing Address - Street 1:3412 CATSKILL CT
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-5428
Mailing Address - Country:US
Mailing Address - Phone:412-738-0221
Mailing Address - Fax:
Practice Address - Street 1:3412 CATSKILL CT
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-5428
Practice Address - Country:US
Practice Address - Phone:412-738-0221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-26
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health