Provider Demographics
NPI:1740983147
Name:LOYAL STAFFING AGENCY, AND HOME CARE
Entity type:Organization
Organization Name:LOYAL STAFFING AGENCY, AND HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTOINE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:857-333-2253
Mailing Address - Street 1:75 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1218
Mailing Address - Country:US
Mailing Address - Phone:857-333-2253
Mailing Address - Fax:857-209-3744
Practice Address - Street 1:75 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-1218
Practice Address - Country:US
Practice Address - Phone:857-333-2253
Practice Address - Fax:857-209-3744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health