Healthcare Provider Details

I. General information

NPI: 1104741867
Provider Name (Legal Business Name): TEAM SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 FAIRMOUNT AVE
JAMESTOWN NY
14701-4767
US

IV. Provider business mailing address

92 FAIRMOUNT AVE
JAMESTOWN NY
14701-4767
US

V. Phone/Fax

Practice location:
  • Phone: 716-661-1044
  • Fax:
Mailing address:
  • Phone: 716-661-1044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: JESSICA HOLMES
Title or Position: DIRECTOR OF COMMUNITY BASED SERVICE
Credential:
Phone: 716-661-1044