Community Integration Supports

NPI #1053197798 in Mineral Ridge, Ohio

Provider Information

NPI Number
1053197798
Entity Type
Organization
Organization Name
Community Integration Supports
Primary Specialty
Homemaker
Enumeration Date
Sep 7, 2023
Last Updated
Sep 13, 2023

Practice Location

Address
635 CARSON SALT SPRINGS RD
State
Ohio
ZIP Code
44440-9334
Phone
(330) 503-2224

Authorized Official

Name
MR. RANDALL ALLAN BURNS JR.
Title
AO
Phone
(330) 503-2224

Specialties & Taxonomy Codes

Specialty
Supports Brokerage
Non-emergency Medical Transport (VAN)
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, ChildRespite Care, Intellectual and/or Developmental Disabilities, Child
Homemaker

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