Organization
INNOVATIONS HEALTH STAFFING, LLC
Active
Parent organization
INNOVATIONS HEALTH SYSTEMS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVATIONS HEALTH SYSTEMS, LLC
Authorized official
MR. DAN THOMAS NICCUM (STRATEGY & IMPLEMENTATION OFFICER)
(916) 425-1171
Entity
Organization
Contact information
Practice address
1220 MELODY LN STE 155, ROSEVILLE, CA 95678-5210
(916) 425-1171
(916) 742-5157
Mailing address
1220 MELODY LN STE 155, ROSEVILLE, CA 95678-5210
(916) 425-1171
(916) 742-5157
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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