Healthcare Provider Details

I. General information

NPI: 1295077170
Provider Name (Legal Business Name): STAFF MEDICAL 247, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2013
Last Update Date: 03/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 N QUEEN ST RM 108
MARTINSBURG WV
25401-3312
US

IV. Provider business mailing address

142 N QUEEN ST RM 108
MARTINSBURG WV
25401-3312
US

V. Phone/Fax

Practice location:
  • Phone: 304-596-6644
  • Fax:
Mailing address:
  • Phone: 304-596-6644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JUDITH CHI
Title or Position: PRESIDENT
Credential:
Phone: 202-640-0450