Organization
SIGNATURE STAFF SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATANA MANOMAT (ADMINISTRATOR)
(904) 679-1819
Entity
Organization
Contact information
Practice address
3830 CROWN POINT RD STE F, JACKSONVILLE, FL 32257-7553
(904) 679-1819
(904) 647-8096
Mailing address
138 PALM COAST PKWY NE # 258, PALM COAST, FL 32137-8241
(904) 679-1819
(904) 647-8096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1585
FL
163WI0500X
Infusion Therapy Registered Nurse
1585
FL
164W00000X
Licensed Practical Nurse
1585
FL
171M00000X
Case Manager/Care Coordinator
1585
FL
3747P1801X
Personal Care Attendant
1585
FL
374U00000X
Home Health Aide
1585
FL
376K00000X
Nurse's Aide
1585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1585
AHCA HEALTH CARE SERVICES POOL
FL
Enumeration date
01/15/2014
Last updated
01/15/2014
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