Organization
NEO SUPPORT SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH TIERNEY (OWNER)
(440) 228-7518
Entity
Organization
Contact information
Practice address
383 CARL ST, CONNEAUT, OH 44030-1674
(440) 536-1101
Mailing address
383 CARL ST, CONNEAUT, OH 44030-1674
(440) 536-1101
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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