Provider Demographics
NPI:1235476151
Name:TASSCO STAFFING LLC
Entity Type:Organization
Organization Name:TASSCO STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BUTCH
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-973-2738
Mailing Address - Street 1:PO BOX 7141
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-7141
Mailing Address - Country:US
Mailing Address - Phone:434-973-2738
Mailing Address - Fax:434-293-0693
Practice Address - Street 1:2114 ANGUS RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2768
Practice Address - Country:US
Practice Address - Phone:434-973-2738
Practice Address - Fax:434-293-0693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health