Provider Demographics
NPI:1518996156
Name:ANTARES STAFFING EAST, INC.
Entity Type:Organization
Organization Name:ANTARES STAFFING EAST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:W
Authorized Official - Last Name:CLAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-687-6223
Mailing Address - Street 1:2060 E 9TH ST
Mailing Address - Street 2:MZ 01-10B-1900
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-1313
Mailing Address - Country:US
Mailing Address - Phone:800-315-3139
Mailing Address - Fax:216-687-2623
Practice Address - Street 1:2060 E 9TH ST
Practice Address - Street 2:MZ 01-10B-1900
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-1313
Practice Address - Country:US
Practice Address - Phone:800-315-3139
Practice Address - Fax:216-687-2623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies