Provider Demographics
NPI:1770994048
Name:ALFRED'S MEDICAL STAFFING AGENCY
Entity type:Organization
Organization Name:ALFRED'S MEDICAL STAFFING AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFRED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-303-3227
Mailing Address - Street 1:107 SAINT HILARY DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-4702
Mailing Address - Country:US
Mailing Address - Phone:337-303-3227
Mailing Address - Fax:
Practice Address - Street 1:321 TRAVIS ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2461
Practice Address - Country:US
Practice Address - Phone:337-534-8968
Practice Address - Fax:337-534-8938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-08
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health