Provider Demographics
NPI:1063279693
Name:DICKASON STAFFING SOLUTIONS LLC
Entity type:Organization
Organization Name:DICKASON STAFFING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-929-6168
Mailing Address - Street 1:7352 ROSLINDALE TRL
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-4125
Mailing Address - Country:US
Mailing Address - Phone:269-929-6168
Mailing Address - Fax:
Practice Address - Street 1:7352 ROSLINDALE TRL
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-4125
Practice Address - Country:US
Practice Address - Phone:269-929-6168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care