Provider Demographics
NPI:1992151492
Name:STAFFING & SKILLS INC.
Entity type:Organization
Organization Name:STAFFING & SKILLS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GOODLUCK
Authorized Official - Middle Name:
Authorized Official - Last Name:OMUYEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-350-1727
Mailing Address - Street 1:110 POWELL LN
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-3310
Mailing Address - Country:US
Mailing Address - Phone:610-350-1727
Mailing Address - Fax:
Practice Address - Street 1:110 POWELL LN
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-3310
Practice Address - Country:US
Practice Address - Phone:610-350-1727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1992151492Medicaid
PA1992151492Medicare UPIN
PA1992151492Medicare NSC
PA1992151492Medicaid
PA1992151492Medicare PIN