Provider Demographics
| NPI: | 1538874557 |
|---|---|
| Name: | MASTIN 4 YOU STAFFING & HEALTH SERVICES LLC |
| Entity type: | Organization |
| Organization Name: | MASTIN 4 YOU STAFFING & HEALTH SERVICES LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER/ADMINISTRATOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | TIFFANY |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MASTIN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | RN |
| Authorized Official - Phone: | 404-922-1985 |
| Mailing Address - Street 1: | 110 ASHTONBROOK DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MCDONOUGH |
| Mailing Address - State: | GA |
| Mailing Address - Zip Code: | 30252-6705 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 404-922-1985 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 123 E ATLANTA RD |
| Practice Address - Street 2: | |
| Practice Address - City: | STOCKBRIDGE |
| Practice Address - State: | GA |
| Practice Address - Zip Code: | 30281-3448 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 470-847-7726 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-01-16 |
| Last Update Date: | 2023-01-16 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
| No | 291U00000X | Laboratories | Clinical Medical Laboratory |