Provider Demographics
NPI:1851595391
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:YVONE
Authorized Official - Last Name:JEGBADAI
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:919-790-1953
Mailing Address - Street 1:100 COASTLINE ST
Mailing Address - Street 2:SUITE 314
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-5879
Mailing Address - Country:US
Mailing Address - Phone:252-985-3122
Mailing Address - Fax:252-985-3522
Practice Address - Street 1:100 COASTLINE ST
Practice Address - Street 2:SUITE 314
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-5879
Practice Address - Country:US
Practice Address - Phone:252-985-3122
Practice Address - Fax:252-985-3522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health