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Organization

COMMUNITY SUPPORT SPECIALISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANNIE DELLA KENION RN (DIRECTOR/OWNER)
(910) 763-3644
Entity
Organization

Contact information

Practice address
1316 S 16TH ST, WILMINGTON, NC 28401-6422
(910) 763-3644
(910) 763-3634
Mailing address
1316 S 16TH ST, WILMINGTON, NC 28401-6422
(910) 763-3644
(910) 763-3634

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
05/25/2010
Last updated
05/25/2010
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