Provider Demographics
NPI:1992011464
Name:MEDICAL STAFFING NETWORK HEALTHCARE, LLC
Entity Type:Organization
Organization Name:MEDICAL STAFFING NETWORK HEALTHCARE, LLC
Other - Org Name:MSN HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-322-1300
Mailing Address - Street 1:901 YAMATO RD STE 110
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4415
Mailing Address - Country:US
Mailing Address - Phone:561-322-1300
Mailing Address - Fax:561-322-1400
Practice Address - Street 1:1821 OREGON PIKE STE F
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6466
Practice Address - Country:US
Practice Address - Phone:717-569-8751
Practice Address - Fax:717-569-8752
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL STAFFING NETWORK HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-23
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA15363601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care