Provider Demographics
NPI:1922321751
Name:SELECT STAFFING LLC
Entity Type:Organization
Organization Name:SELECT STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:APPLEGATE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-935-2080
Mailing Address - Street 1:110 N COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-3422
Mailing Address - Country:US
Mailing Address - Phone:903-935-2080
Mailing Address - Fax:903-935-2080
Practice Address - Street 1:110 N COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-3422
Practice Address - Country:US
Practice Address - Phone:903-935-2080
Practice Address - Fax:903-935-2080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health