Healthcare Provider Details

I. General information

NPI: 1093944803
Provider Name (Legal Business Name): MAS MEDICAL STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 CANAL ST STE 200
MANCHESTER NH
03101-2335
US

IV. Provider business mailing address

175 CANAL ST STE 200
MANCHESTER NH
03101-2335
US

V. Phone/Fax

Practice location:
  • Phone: 603-263-5392
  • Fax:
Mailing address:
  • Phone: 603-263-5392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number03490
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALLYSON C JOY
Title or Position: VP
Credential:
Phone: 207-400-0721