Community Support Agency, Llc in Delco - Community/behavioral Health
Community Support Agency, Llc - NPI 1447393020
Community Support Agency, Llc is a Community/behavioral Health in Delco, North Carolina. Community Support Agency, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Community Support Agency, Llc is 1447393020. The last update date is 2018-10-16.
Community Support Agency, Llc's current location address is P.o Box 465, Delco, North Carolina. You can contact this provider via phone number 9106550698 and fax number 9106550611. The mailing address for Community Support Agency, Llc is P.o Box 465, Delco, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Community Support Agency, Llc |
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Address | P.o Box 465, Delco, North Carolina |
Phone Number | 9106550698 |
Fax Number | 9106550611 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Berry Keaton Devoria |
Telephone Number | 9106550698 |
NPI Number Detail
NPI Number | 1447393020 |
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Provider Enumeration Date | 2007-02-14 |
Last Updated Date | 2018-10-16 |
Provider Mailing Address Detail
Address | P.o Box 465 |
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City | Delco |
State | North Carolina (NC) |
Post Code | 284369221 |
Phone Number | 9106550698 |
Fax Number | 9106550611 |
Provider's Primary Taxonomy Detail
Speciality | Community/behavioral Health |
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Taxonomy | 251S00000X |
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the Community Support Agency, Llc's unique identification number?
The Community Support Agency, Llc has been assigned the NPI (National Provider Identifier) Number 1447393020 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Community Support Agency, Llc's facilities are situated?
The facilities of Community Support Agency, Llc are physically located at the following address: P.O Box 465, Delco, NC, 284369221.
What is Community Support Agency, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Community Support Agency, Llc's specialized field of practice is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of specialization is 251S00000X.
On what date did the Community Support Agency, Llc receive the assignment of its 1447393020 from the Centers for Medicare & Medicaid Services?
The Community Support Agency, Llc was issued its 1447393020 by the Centers for Medicare & Medicaid Services on 2007-02-14.
As of what date were the Community Support Agency, Llc's details last updated?
The information pertaining to the Community Support Agency, Llc, including its address, specialty, and other details, was most recently updated on 2018-10-16.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC