Provider Demographics
NPI:1407133242
Name:STAFFCO OF MIDDLE TENNESSEE
Entity Type:Organization
Organization Name:STAFFCO OF MIDDLE TENNESSEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-451-7631
Mailing Address - Street 1:4922 PORT ROYAL RD
Mailing Address - Street 2:SUITE C11
Mailing Address - City:SPRINGHILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174
Mailing Address - Country:US
Mailing Address - Phone:931-451-7631
Mailing Address - Fax:931-451-7632
Practice Address - Street 1:4922 PORT ROYAL RD
Practice Address - Street 2:SUITE C11
Practice Address - City:SPRINGHILL
Practice Address - State:TN
Practice Address - Zip Code:37174
Practice Address - Country:US
Practice Address - Phone:931-451-7631
Practice Address - Fax:931-451-7632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care