Organization
ALSSTATE MEDICAL STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD BASTIEN (OWNER/PRESIDENT)
(401) 404-7478
Entity
Organization
Contact information
Practice address
120 AMARAL ST, RIVERSIDE, RI 02915-2227
(401) 404-7478
(401) 709-4302
Mailing address
120 AMARAL ST, RIVERSIDE, RI 02915-2227
(401) 404-7478
(401) 709-4302
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
NPA00119
RI
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
04/14/2015
Last updated
04/24/2015
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