Provider Demographics
NPI:1184846248
Name:CALLOS MEDICAL STAFFING, LLC
Entity Type:Organization
Organization Name:CALLOS MEDICAL STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICEPRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:PLANT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:330-788-3033
Mailing Address - Street 1:5083 MARKET ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-2190
Mailing Address - Country:US
Mailing Address - Phone:330-788-3033
Mailing Address - Fax:330-788-6940
Practice Address - Street 1:5083 MARKET ST
Practice Address - Street 2:SUITE 6
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-2190
Practice Address - Country:US
Practice Address - Phone:330-788-3033
Practice Address - Fax:330-788-6940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health