Provider Demographics
NPI:1164180717
Name:SENTINEL STAFFING AGENCY, LLC
Entity Type:Organization
Organization Name:SENTINEL STAFFING AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:704-900-6122
Mailing Address - Street 1:3141 AMITY CT STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-5745
Mailing Address - Country:US
Mailing Address - Phone:704-900-6122
Mailing Address - Fax:704-900-6116
Practice Address - Street 1:3141 AMITY CT STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-5745
Practice Address - Country:US
Practice Address - Phone:704-900-6122
Practice Address - Fax:704-900-6116
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENTINEL HOME HEALTH CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care