Provider Demographics
NPI:1164843041
Name:STAFFMARK INVESTMENTS LLC
Entity type:Organization
Organization Name:STAFFMARK INVESTMENTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BRANCH MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-782-8404
Mailing Address - Street 1:191 ROSA PARK ST
Mailing Address - Street 2:10TH FLOOR
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202
Mailing Address - Country:US
Mailing Address - Phone:866-765-7544
Mailing Address - Fax:
Practice Address - Street 1:720 GRACERN RD
Practice Address - Street 2:SUITE 122
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210
Practice Address - Country:US
Practice Address - Phone:803-782-8404
Practice Address - Fax:866-783-0664
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STAFFMARK HOLDINGS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-19
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEXG024OtherCLTC PROVIDER #