Organization
LIVING SUPPORT SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HOLLIS (OWNER)
(260) 442-7635
Entity
Organization
Contact information
Practice address
4568 TIMBER CREEK PKWY, NEW HAVEN, IN 46774-3147
(260) 635-4828
Mailing address
4568 TIMBER CREEK PKWY, NEW HAVEN, IN 46774-3147
(260) 635-4828
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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