Provider Demographics
NPI:1295019438
Name:VILLAGESTAFFING LLC
Entity Type:Organization
Organization Name:VILLAGESTAFFING LLC
Other - Org Name:VILLAGE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-725-0342
Mailing Address - Street 1:1902 N SANDHILLS BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NC
Mailing Address - Zip Code:28315-2347
Mailing Address - Country:US
Mailing Address - Phone:910-725-0342
Mailing Address - Fax:
Practice Address - Street 1:1902 N SANDHILLS BLVD STE D
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2347
Practice Address - Country:US
Practice Address - Phone:910-725-0342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4446251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health