Provider Demographics
NPI:1902032469
Name:ALPHA ONE STAFFING,LLC
Entity Type:Organization
Organization Name:ALPHA ONE STAFFING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHON
Authorized Official - Middle Name:B
Authorized Official - Last Name:GARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-399-9627
Mailing Address - Street 1:416 S MAIN ST STE G
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2260
Mailing Address - Country:US
Mailing Address - Phone:864-399-9627
Mailing Address - Fax:964-399-9628
Practice Address - Street 1:416 S MAIN ST STE G
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2260
Practice Address - Country:US
Practice Address - Phone:864-399-9627
Practice Address - Fax:864-399-9628
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPHA ONE STAFFING,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)