Organization
COMMUNITY SUPPORT SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA HALL (EXECUTIVE DIRECTOR)
(504) 245-5757
Entity
Organization
Contact information
Practice address
7921 BULLARD AVE, UNIT 2B, NEW ORLEANS, LA 70128-1197
(504) 245-5757
(866) 902-2182
Mailing address
PO BOX 870462, NEW ORLEANS, LA 70187-0462
(504) 245-5757
(866) 902-2182
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
11947
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1431664
—
LA
Enumeration date
01/03/2008
Last updated
05/08/2009
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