Provider Demographics
NPI:1396938841
Name:ADVANCED TEMPORARY SERVICES, INC
Entity type:Organization
Organization Name:ADVANCED TEMPORARY SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:LISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-933-5554
Mailing Address - Street 1:1 RESEARCH CT
Mailing Address - Street 2:SUITE 450
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3221
Mailing Address - Country:US
Mailing Address - Phone:301-933-5554
Mailing Address - Fax:301-933-5005
Practice Address - Street 1:1 RESEARCH CT
Practice Address - Street 2:SUITE 450
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3221
Practice Address - Country:US
Practice Address - Phone:301-933-5554
Practice Address - Fax:301-933-5005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-18
Last Update Date:2007-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1003251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health