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Organization

COMMUNITY SUPPORTS PROGRAMMING SERVICES LLC

Active
Other names
CSPS
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TINA LOUISE MAY QDDS, BA (OWNER)
(320) 629-6674
Entity
Organization

Contact information

Practice address
500 3RD AVE SE, SUITE 2, PINE CITY, MN 55063
(320) 629-6674
(320) 629-6630
Mailing address
500 3RD AVE SE, SUITE 2, PINE CITY, MN 55063
(320) 629-6674
(320) 629-6630

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
486667300
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
486667300
MA
MN
Enumeration date
08/28/2008
Last updated
11/26/2013
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