Provider Demographics
NPI:1720554371
Name:MEDSTAFF RESOURCES LLC
Entity Type:Organization
Organization Name:MEDSTAFF RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JATINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:GAHLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:484-773-8334
Mailing Address - Street 1:2440 WOODLAND HILLS CT
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-3364
Mailing Address - Country:US
Mailing Address - Phone:484-773-8334
Mailing Address - Fax:573-240-9428
Practice Address - Street 1:221 E BROWN ST
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-3005
Practice Address - Country:US
Practice Address - Phone:484-773-8334
Practice Address - Fax:573-240-9428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026551100003Medicaid