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Organization

COMMUNITY LIFE SUPPORT SYSTEMS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY ROWLAND (PRESIDENT CEO)
(570) 586-0611
Entity
Organization

Contact information

Practice address
3 ABINGTON EXECUTIVE PARK STE 11, CLARKS SUMMIT, PA 18411-2269
(570) 586-0611
(570) 585-6906
Mailing address
PO BOX 472, CLARKS SUMMIT, PA 18411-0472
(570) 586-0611
(570) 585-6906

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05096
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00015749640002
PA
01
290545
ACCESS CARE BCBS
PA
01
800743
FIRST PRIORITY HEALTH
PA
01
998577
BC NEPA
PA
Enumeration date
01/29/2007
Last updated
12/02/2009
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