Provider Demographics
NPI:1932404993
Name:DESTINY STAFFING SOLUTIONS
Entity Type:Organization
Organization Name:DESTINY STAFFING SOLUTIONS
Other - Org Name:BILLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-748-1666
Mailing Address - Street 1:2514 82ND ST
Mailing Address - Street 2:SUITE B1
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2222
Mailing Address - Country:US
Mailing Address - Phone:806-748-1666
Mailing Address - Fax:806-748-1940
Practice Address - Street 1:2514 82ND ST
Practice Address - Street 2:SUITE B1
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2222
Practice Address - Country:US
Practice Address - Phone:806-748-1666
Practice Address - Fax:806-748-1940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health