Provider Demographics
NPI:1376273565
Name:TRADITIONAL TOUCH HEALTHCARE AND TEMPORARY STAFFING SERVICES
Entity Type:Organization
Organization Name:TRADITIONAL TOUCH HEALTHCARE AND TEMPORARY STAFFING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:STARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-480-2204
Mailing Address - Street 1:383 PARADISE CIR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-5222
Mailing Address - Country:US
Mailing Address - Phone:167-852-1549
Mailing Address - Fax:
Practice Address - Street 1:383 PARADISE CIR
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-5222
Practice Address - Country:US
Practice Address - Phone:678-521-5498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health