# UPSTREAM HEALTHCARE STAFFING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518392505
- **Authorized official:** MR. NICHOLAS L SMITH (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (732) 681-6000

## Contact information

- **Practice address:** 2601 BELMAR BLVD, WALL, NJ 07719-4167
- **Practice address phone:** (732) 681-6000
- **Mailing address:** 2601 BELMAR BLVD, WALL, NJ 07719-4167
- **Mailing address phone:** (732) 681-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2013
- **Last updated:** 09/09/2013