Provider Demographics
NPI:1518121946
Name:WISE MEDICAL STAFFING
Entity Type:Organization
Organization Name:WISE MEDICAL STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:304-488-3036
Mailing Address - Street 1:860 CHERRY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3142
Mailing Address - Country:US
Mailing Address - Phone:803-328-9291
Mailing Address - Fax:803-328-9405
Practice Address - Street 1:860 CHERRY RD STE 101
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3142
Practice Address - Country:US
Practice Address - Phone:803-328-9291
Practice Address - Fax:803-328-9405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27033251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care