Provider Demographics
NPI:1982855987
Name:INFINITY MEDICAL STAFFING AGENCY LLC
Entity Type:Organization
Organization Name:INFINITY MEDICAL STAFFING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-901-0179
Mailing Address - Street 1:924 NEW HAMPSHIRE AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5958
Mailing Address - Country:US
Mailing Address - Phone:732-901-0179
Mailing Address - Fax:732-901-7572
Practice Address - Street 1:924 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5958
Practice Address - Country:US
Practice Address - Phone:732-901-0179
Practice Address - Fax:732-901-7572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care