Provider Demographics
NPI:1982041224
Name:U.S. MEDICAL STAFFING INC
Entity Type:Organization
Organization Name:U.S. MEDICAL STAFFING INC
Other - Org Name:NORTHWESTERN HUMAN SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:BEHAVIORAL SPECIALIST/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:T
Authorized Official - Last Name:BLAMOH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MHS, MS, ABA
Authorized Official - Phone:610-507-7173
Mailing Address - Street 1:416 S 4TH ST APT 12A
Mailing Address - Street 2:
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-2703
Mailing Address - Country:US
Mailing Address - Phone:610-507-7173
Mailing Address - Fax:484-540-7989
Practice Address - Street 1:416 S 4TH ST APT 12A
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-2703
Practice Address - Country:US
Practice Address - Phone:610-507-7173
Practice Address - Fax:484-540-7989
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:U.S. MEDICAL STAFFING PLUS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA27696805322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA27696805OtherDRIVER LICENSE