Provider Demographics
NPI:1376292615
Name:S & L STAFFING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:S & L STAFFING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FETICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-776-7668
Mailing Address - Street 1:450 W HANES MILL RD STE 224
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-7404
Mailing Address - Country:US
Mailing Address - Phone:336-776-7668
Mailing Address - Fax:
Practice Address - Street 1:450 W HANES MILL RD STE 224
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-7404
Practice Address - Country:US
Practice Address - Phone:336-776-7668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health