Organization
COMMUNITY CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OYEWALE O OYERINDE (PRESIDENT)
(608) 772-8655
Entity
Organization
Contact information
Practice address
15618 W PORT AU PRINCE LN, SURPRISE, AZ 85379-6283
(608) 772-8655
Mailing address
15618 W PORT AU PRINCE LN, SURPRISE, AZ 85379-6283
(608) 772-8655
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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