Provider Demographics
NPI:1093040628
Name:ASHREEL1 HEALTH CARE STAFFING
Entity type:Organization
Organization Name:ASHREEL1 HEALTH CARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:YVANE
Authorized Official - Middle Name:
Authorized Official - Last Name:VILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-419-6902
Mailing Address - Street 1:18800 NW 2ND AVE STE 105C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4060
Mailing Address - Country:US
Mailing Address - Phone:786-419-6902
Mailing Address - Fax:866-878-9195
Practice Address - Street 1:11907 W BISCAYNE CANAL RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-6138
Practice Address - Country:US
Practice Address - Phone:786-419-6902
Practice Address - Fax:866-878-9195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN1112931251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care