Provider Demographics
NPI:1376738682
Name:DALLASSTAFFLINK
Entity Type:Organization
Organization Name:DALLASSTAFFLINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF NURSING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCO
Authorized Official - Suffix:
Authorized Official - Credentials:RN , BSN, MA
Authorized Official - Phone:214-331-6944
Mailing Address - Street 1:2626 DEEP HILL CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75233-4006
Mailing Address - Country:US
Mailing Address - Phone:214-331-8721
Mailing Address - Fax:214-331-6950
Practice Address - Street 1:2626 DEEP HILL CIR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75233-4006
Practice Address - Country:US
Practice Address - Phone:214-331-8721
Practice Address - Fax:214-331-6950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010244251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health