Provider Demographics
NPI:1083051692
Name:PIVOT STAFFING
Entity Type:Organization
Organization Name:PIVOT STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-646-0388
Mailing Address - Street 1:6814 TILTON RD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-4490
Mailing Address - Country:US
Mailing Address - Phone:609-646-0388
Mailing Address - Fax:609-646-5266
Practice Address - Street 1:6814 TILTON RD
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-4490
Practice Address - Country:US
Practice Address - Phone:609-646-0388
Practice Address - Fax:609-646-5266
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY QUEST, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health