Organization
COMMUNITY SUPPORT CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUWAFEMI SHODIPE (ADMINISTRATOR)
(443) 348-3981
Entity
Organization
Contact information
Practice address
3100 LORD BALTIMORE DR STE 101, WINDSOR MILL, MD 21244-5804
(443) 348-3981
(410) 645-8393
Mailing address
3100 LORD BALTIMORE DR STE 101, WINDSOR MILL, MD 21244-5804
(443) 348-3981
(410) 645-8393
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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