Provider Demographics
NPI:1255011557
Name:GOODWILL HEALTHCARE STAFFING LLC
Entity type:Organization
Organization Name:GOODWILL HEALTHCARE STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE PERSONNEL
Authorized Official - Prefix:
Authorized Official - First Name:FOLAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-708-5995
Mailing Address - Street 1:10610 RHODE ISLAND AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2500
Mailing Address - Country:US
Mailing Address - Phone:301-708-5995
Mailing Address - Fax:
Practice Address - Street 1:10610 RHODE ISLAND AVE STE 103
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2500
Practice Address - Country:US
Practice Address - Phone:301-708-5995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty