Organization
COMMUNITY LIFE SUPPORT SYSTEMS, INC.
Active
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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