Provider Demographics
NPI:1053991117
Name:HOLISTIC STAFFING AGENCY
Entity type:Organization
Organization Name:HOLISTIC STAFFING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAQUITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-691-3870
Mailing Address - Street 1:801 GILBERT ST STE 218
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3581
Mailing Address - Country:US
Mailing Address - Phone:919-691-3870
Mailing Address - Fax:984-888-0182
Practice Address - Street 1:801 GILBERT ST STE 218
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3581
Practice Address - Country:US
Practice Address - Phone:919-691-3870
Practice Address - Fax:984-888-0182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care