Provider Demographics
NPI:1225294226
Name:247 ALLSTAFF WEST LLC
Entity type:Organization
Organization Name:247 ALLSTAFF WEST LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-484-6020
Mailing Address - Street 1:3824 CEDAR SPRINGS RD STE 118
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4136
Mailing Address - Country:US
Mailing Address - Phone:469-484-6020
Mailing Address - Fax:
Practice Address - Street 1:2450 VENTURE OAKS WAY STE 200
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-4226
Practice Address - Country:US
Practice Address - Phone:888-788-5424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health