Provider Demographics
NPI:1528484987
Name:CRITICORE HEALTHCARE STAFFING, INC.
Entity type:Organization
Organization Name:CRITICORE HEALTHCARE STAFFING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CLELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-207-8316
Mailing Address - Street 1:5773 N CANTON CENTER RD
Mailing Address - Street 2:STE 5
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2620
Mailing Address - Country:US
Mailing Address - Phone:734-207-8316
Mailing Address - Fax:734-207-8369
Practice Address - Street 1:5773 N CANTON CENTER RD
Practice Address - Street 2:STE 5
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2620
Practice Address - Country:US
Practice Address - Phone:734-207-8316
Practice Address - Fax:734-207-8369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care