Provider Demographics
NPI:1235386707
Name:MCCRAYS STAFFING LLC
Entity Type:Organization
Organization Name:MCCRAYS STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-663-0167
Mailing Address - Street 1:3070 MAYFIELD RD
Mailing Address - Street 2:SUITE 403 M
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1728
Mailing Address - Country:US
Mailing Address - Phone:216-916-6965
Mailing Address - Fax:216-393-0110
Practice Address - Street 1:3070 MAYFIELD RD
Practice Address - Street 2:STE. 403 M
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1728
Practice Address - Country:US
Practice Address - Phone:216-916-6965
Practice Address - Fax:216-393-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200821202324251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health