Organization
COMMUNITY ASSISTANCE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH MEARIE JACKSON OWNER (OWNER)
(571) 285-9186
Entity
Organization
Contact information
Practice address
3399 OAKHAM MOUNT DR, TRIANGLE, VA 22172-2343
(571) 285-9186
Mailing address
3399 OAKHAM MOUNT DR, TRIANGLE, VA 22172-2343
(571) 285-9186
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
05/14/2024
Last updated
08/25/2025
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