# CENTRAL STATE COMMUNITY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245459460
- **Authorized official:** MS. DEBORAH PETTYPLACE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (989) 631-6691

## Contact information

- **Practice address:** 2603 W WACKERLY ST, SUITE 201, MIDLAND, MI 48640-6903
- **Practice address phone:** (989) 631-6691
- **Practice address fax:** (989) 631-8760
- **Mailing address:** 2603 W WACKERLY ST, SUITE 201, MIDLAND, MI 48640-6903
- **Mailing address phone:** (989) 631-6691
- **Mailing address fax:** (989) 631-8760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020