Organization
COMMUNITY ASSISTANCE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH M JACKSON (CEO)
(571) 285-9186
Entity
Organization
Contact information
Practice address
3399 OAKHAM MOUNT DR, TRIANGLE, VA 22172-2343
(571) 285-9186
Mailing address
3399 OAKHAM MOUNT DR, TRIANGLE, VA 22172-2343
(571) 285-9186
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
177F00000X
Lodging Provider
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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