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Organization
PROVISIONAL STAFFING, LLC
Active
Organization
PROVISIONAL STAFFING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C MCCARTHY (EXECUTIVE DIRECTOR)
(920) 470-9167
Entity
Organization
Contact information
Practice address
2128 E PRAIRIE CREEK DR, NEENAH, WI 54956-5623
(920) 470-9167
(920) 969-0527
Mailing address
1461 KENWOOD DR, MENASHA, WI 54952-1153
(920) 470-9167
(920) 969-0527
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
08/27/2026
Last updated
08/27/2026
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