Provider Demographics
NPI:1285947978
Name:STAFFCO OF TENNESSEE, LLC.
Entity type:Organization
Organization Name:STAFFCO OF TENNESSEE, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-380-4489
Mailing Address - Street 1:PO BOX 34249
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38184-0249
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3225 KIRBY WHITTEN ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38184-0249
Practice Address - Country:US
Practice Address - Phone:901-380-4489
Practice Address - Fax:901-380-4376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000004974253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care