Provider Demographics
NPI:1124522503
Name:MN STAFFING AND NURSING SERVICES
Entity type:Organization
Organization Name:MN STAFFING AND NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NGOH
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:443-610-7639
Mailing Address - Street 1:40 HALFPENNY LN
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1150
Mailing Address - Country:US
Mailing Address - Phone:443-610-7639
Mailing Address - Fax:443-753-1509
Practice Address - Street 1:6401 NEW HAMPSHIRE AVE STE 100
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3201
Practice Address - Country:US
Practice Address - Phone:443-610-7639
Practice Address - Fax:443-753-1509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR4216P251E00000X
MDR4216251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health