# FAUNTIX SUPPORT SERVICES LLC

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

## Provider details

- **NPI number:** 1700449923
- **Authorized official:** DAMON MILLER (CEO/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (856) 278-9218

## Contact information

- **Practice address:** 270 SUMMIT AVE APT 1, JERSEY CITY, NJ 07306-2666
- **Practice address phone:** (856) 278-9218
- **Mailing address:** 270 SUMMIT AVE APT 1, JERSEY CITY, NJ 07306-2666
- **Mailing address phone:** (856) 278-9218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2019
- **Last updated:** 08/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1538626684 | — | NJ |
