Provider Demographics
NPI:1225783335
Name:C&C TRUSTED STAFFING, LLC
Entity Type:Organization
Organization Name:C&C TRUSTED STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRASURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-437-1833
Mailing Address - Street 1:229 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1824
Mailing Address - Country:US
Mailing Address - Phone:304-437-1833
Mailing Address - Fax:
Practice Address - Street 1:229 6TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1824
Practice Address - Country:US
Practice Address - Phone:304-437-1833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health