Provider Demographics
NPI:1093562266
Name:DEVRAH HEALTHCARE STAFFING, LLC
Entity type:Organization
Organization Name:DEVRAH HEALTHCARE STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALINDALE
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:954-214-7539
Mailing Address - Street 1:5700 NW 48TH AVE
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2304
Mailing Address - Country:US
Mailing Address - Phone:954-214-7539
Mailing Address - Fax:
Practice Address - Street 1:1451 W CYPRESS CREEK RD STE 300
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1953
Practice Address - Country:US
Practice Address - Phone:954-214-7539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-04
Last Update Date:2024-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care