Provider Demographics
NPI:1073234621
Name:STETHOSCOPE STAFFING LLC
Entity Type:Organization
Organization Name:STETHOSCOPE STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRESA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-209-0125
Mailing Address - Street 1:2658 NEW HOPE RD FL 32448
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32448-3642
Mailing Address - Country:US
Mailing Address - Phone:850-209-0125
Mailing Address - Fax:
Practice Address - Street 1:2658 NEW HOPE RD FL 32448
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32448-3642
Practice Address - Country:US
Practice Address - Phone:850-209-0125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STETHOSCOPE STAFFING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care