Provider Demographics
NPI:1952720534
Name:STARTAX T&G BUSINESS GROUP, INC.
Entity Type:Organization
Organization Name:STARTAX T&G BUSINESS GROUP, INC.
Other - Org Name:STARTAX T&G FINANCIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENDRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MENTEE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:781-308-2758
Mailing Address - Street 1:89 N MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4605
Mailing Address - Country:US
Mailing Address - Phone:781-986-5999
Mailing Address - Fax:
Practice Address - Street 1:89 N MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-4605
Practice Address - Country:US
Practice Address - Phone:781-986-5999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health