Provider Demographics
NPI:1144731266
Name:FOSTIP STAFFING AGENCY
Entity type:Organization
Organization Name:FOSTIP STAFFING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FOSTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-601-9973
Mailing Address - Street 1:8230 BRUSHYRIDGE RD APT 2A
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-6047
Mailing Address - Country:US
Mailing Address - Phone:240-601-9973
Mailing Address - Fax:
Practice Address - Street 1:8230 BRUSHYRIDGE RD APT 2A
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-6047
Practice Address - Country:US
Practice Address - Phone:240-601-9973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services