Provider Demographics
NPI:1629221270
Name:TRUSTWORTHY STAFFING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:TRUSTWORTHY STAFFING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:LAVERNE
Authorized Official - Last Name:MCMICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-484-4156
Mailing Address - Street 1:3 GREENWOOD PL STE 304
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2772
Mailing Address - Country:US
Mailing Address - Phone:410-484-4156
Mailing Address - Fax:410-484-0148
Practice Address - Street 1:3 GREENWOOD PL STE 304
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-2772
Practice Address - Country:US
Practice Address - Phone:410-484-4156
Practice Address - Fax:410-484-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2518251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5416542000Medicaid
MD5253702800Medicaid
MD5419102100Medicaid