Provider Demographics
NPI:1063728988
Name:UNITED MEDICAL STAFFING, INC
Entity type:Organization
Organization Name:UNITED MEDICAL STAFFING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOUVIERE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:337-233-2096
Mailing Address - Street 1:109 S COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3225
Mailing Address - Country:US
Mailing Address - Phone:337-233-2096
Mailing Address - Fax:
Practice Address - Street 1:109 S COLLEGE RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3225
Practice Address - Country:US
Practice Address - Phone:337-233-2096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA34919946D251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care