Organization
COMMUNITY SUPPORTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY ROSS VANCE (PRESIDENT)
(919) 247-5540
Entity
Organization
Contact information
Practice address
3 N COMMERCE PARK DR, CINCINNATI, OH 45215-3174
(513) 771-9333
Mailing address
3 N COMMERCE PARK DR, CINCINNATI, OH 45215-3174
(513) 771-9333
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
9800371
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9800371
—
OH
Enumeration date
09/17/2015
Last updated
09/17/2015
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