Healthcare Provider Details

I. General information

NPI: 1942770359
Provider Name (Legal Business Name): DAMASCUS STAFFING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 11/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1832 FREEMAN AVE
CINCINNATI OH
45214-2117
US

IV. Provider business mailing address

1832 FREEMAN AVE
CINCINNATI OH
45214-2117
US

V. Phone/Fax

Practice location:
  • Phone: 513-954-8941
  • Fax:
Mailing address:
  • Phone: 513-954-8941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: TOM HERZOG
Title or Position: CONTROLLER
Credential:
Phone: 513-954-8941