Provider Demographics
NPI:1700328010
Name:DILIGENT STAFFING PROFESSIONALS
Entity Type:Organization
Organization Name:DILIGENT STAFFING PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DWAYNE
Authorized Official - Middle Name:HORATIO
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-712-0831
Mailing Address - Street 1:12 RANDOLPH CT
Mailing Address - Street 2:APT 1
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-2020
Mailing Address - Country:US
Mailing Address - Phone:860-712-0831
Mailing Address - Fax:
Practice Address - Street 1:54 LOCUST ST
Practice Address - Street 2:1ST FL
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-3033
Practice Address - Country:US
Practice Address - Phone:860-712-0831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health