Provider Demographics
NPI:1710181086
Name:SUPPORT STAFF, INC.
Entity Type:Organization
Organization Name:SUPPORT STAFF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLEY
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:JEGBADAI
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:919-790-1953
Mailing Address - Street 1:14-A EAGLE STREET
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801
Mailing Address - Country:US
Mailing Address - Phone:828-255-0887
Mailing Address - Fax:
Practice Address - Street 1:14-A EAGLE STREET
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-255-0887
Practice Address - Fax:828-255-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health