Organization
MODERN SUPPORT SERVICES
Active
Other names
Modern Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE DALTON (STATE DIRECTOR)
(330) 256-2590
Entity
Organization
Contact information
Practice address
20 E LINWOOD AVE, AKRON, OH 44301-2812
(330) 256-2590
Mailing address
20 E LINWOOD AVE, AKRON, OH 44301-2812
(330) 256-2590
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0302856
—
OH
Enumeration date
12/01/2020
Last updated
12/01/2020
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