Provider Demographics
NPI:1902959430
Name:DIVERSIFIED STAFFING GROUP, INC
Entity Type:Organization
Organization Name:DIVERSIFIED STAFFING GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-755-1133
Mailing Address - Street 1:39 SALISBURY ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-3160
Mailing Address - Country:US
Mailing Address - Phone:508-755-1133
Mailing Address - Fax:508-755-8833
Practice Address - Street 1:39 SALISBURY ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-3160
Practice Address - Country:US
Practice Address - Phone:508-755-1133
Practice Address - Fax:508-755-8833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MATQJI251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care