Provider Demographics
NPI:1124449806
Name:SPECTRUM STAFFING SOLUTIONS LLC
Entity type:Organization
Organization Name:SPECTRUM STAFFING SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACLYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:O'DONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:207-854-4411
Mailing Address - Street 1:1 WESTBROOK COMMONS
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092
Mailing Address - Country:US
Mailing Address - Phone:207-854-4411
Mailing Address - Fax:207-854-7711
Practice Address - Street 1:1 WESTBROOK COMMONS
Practice Address - Street 2:SUITE 1
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092
Practice Address - Country:US
Practice Address - Phone:207-854-4411
Practice Address - Fax:207-854-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care