Provider Demographics
NPI:1013287242
Name:PREMIER ONE STAFFING
Entity type:Organization
Organization Name:PREMIER ONE STAFFING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RIKKI
Authorized Official - Middle Name:LENEE
Authorized Official - Last Name:ATIGARIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:248-792-1252
Mailing Address - Street 1:21315 CONSTITUTION ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-5514
Mailing Address - Country:US
Mailing Address - Phone:248-792-1252
Mailing Address - Fax:248-945-1210
Practice Address - Street 1:21315 CONSTITUTION ST
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-5514
Practice Address - Country:US
Practice Address - Phone:248-792-1252
Practice Address - Fax:248-945-1210
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREMIER ONE STAFFING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3140N1450X3140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric