Provider Demographics
NPI:1932415197
Name:ELIZABETH NURSE STAFFING INC
Entity type:Organization
Organization Name:ELIZABETH NURSE STAFFING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CLATRES
Authorized Official - Middle Name:SHAUNTA
Authorized Official - Last Name:BROWNLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-583-3953
Mailing Address - Street 1:210 S PLEASANT ST APT 116
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64050-3635
Mailing Address - Country:US
Mailing Address - Phone:404-583-3953
Mailing Address - Fax:
Practice Address - Street 1:830 BOULEVARD SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-3653
Practice Address - Country:US
Practice Address - Phone:404-583-3953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
GA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health