Provider Demographics
NPI:1124395058
Name:ALTERNATIVE STAFFING
Entity Type:Organization
Organization Name:ALTERNATIVE STAFFING
Other - Org Name:ALTERNATIVE STAFFING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:CRADDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-385-7807
Mailing Address - Street 1:2250 HOBBTON HWY
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-1772
Mailing Address - Country:US
Mailing Address - Phone:910-385-7807
Mailing Address - Fax:
Practice Address - Street 1:2250 HOBBTON HWY
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-1772
Practice Address - Country:US
Practice Address - Phone:910-385-7807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNP080238251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health