Provider Demographics
NPI:1922346394
Name:PHILOMENA MEDICAL & MEDICAL STAFFING
Entity Type:Organization
Organization Name:PHILOMENA MEDICAL & MEDICAL STAFFING
Other - Org Name:PHILOMENA MEDICAL & MEDICAL STAFFING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PHILOMENA
Authorized Official - Middle Name:KU
Authorized Official - Last Name:QUARSHIE
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:843-271-8254
Mailing Address - Street 1:1699 CHATHAM PKWY APT 1929B
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-7625
Mailing Address - Country:US
Mailing Address - Phone:843-271-8254
Mailing Address - Fax:
Practice Address - Street 1:1699 CHATHAM PKWY APT 1929B
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-7625
Practice Address - Country:US
Practice Address - Phone:843-271-8254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-19
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health