Provider Demographics
NPI:1861790149
Name:THE OUTSOURCE GROUP
Entity type:Organization
Organization Name:THE OUTSOURCE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-692-6500
Mailing Address - Street 1:3 CITY PLACE DRIVE
Mailing Address - Street 2:SUITE 690
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141
Mailing Address - Country:US
Mailing Address - Phone:314-692-6500
Mailing Address - Fax:
Practice Address - Street 1:950 SOUTH WINTER PARK DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707
Practice Address - Country:US
Practice Address - Phone:407-677-4410
Practice Address - Fax:407-677-5533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management