Provider Demographics
NPI:1609574128
Name:ACHIEVE WITHUS STAFFING, INC
Entity Type:Organization
Organization Name:ACHIEVE WITHUS STAFFING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:918-829-3581
Mailing Address - Street 1:616 S BOSTON AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-1210
Mailing Address - Country:US
Mailing Address - Phone:918-829-3581
Mailing Address - Fax:
Practice Address - Street 1:616 S BOSTON AVE STE 302
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-1210
Practice Address - Country:US
Practice Address - Phone:918-829-3581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services