Provider Demographics
NPI:1710443825
Name:MASSEY SERVICES INC
Entity Type:Organization
Organization Name:MASSEY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GM
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:C
Authorized Official - Last Name:WHITTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-656-7222
Mailing Address - Street 1:3217 APALACHEE PKWY
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-5270
Mailing Address - Country:US
Mailing Address - Phone:850-656-7222
Mailing Address - Fax:850-656-7235
Practice Address - Street 1:2525 S MONROE ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-6395
Practice Address - Country:US
Practice Address - Phone:850-523-4303
Practice Address - Fax:813-464-8981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty