Provider Demographics
NPI:1962468942
Name:ADVANCED HEALTHCARE STAFFING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ADVANCED HEALTHCARE STAFFING SOLUTIONS, LLC
Other - Org Name:ADVANCED HEALTHCARE STAFFING SOLUTIONS, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PATIENT CARE COORDINATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:843-679-5355
Mailing Address - Street 1:908 W EVANS ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3442
Mailing Address - Country:US
Mailing Address - Phone:843-679-5355
Mailing Address - Fax:843-679-5646
Practice Address - Street 1:908 W EVANS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3442
Practice Address - Country:US
Practice Address - Phone:843-679-5355
Practice Address - Fax:843-679-5646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0733Medicaid