Provider Demographics
NPI:1053988964
Name:BENEVOLENCE STAFFING SERVICES LLC
Entity type:Organization
Organization Name:BENEVOLENCE STAFFING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MINANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-864-8790
Mailing Address - Street 1:11430 LOCKWOOD DR APT 203
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2652
Mailing Address - Country:US
Mailing Address - Phone:301-864-8790
Mailing Address - Fax:
Practice Address - Street 1:11430 LOCKWOOD DR APT 203
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2652
Practice Address - Country:US
Practice Address - Phone:301-864-8790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care