Community Integration Supports
Homemaker in Mineral Ridge, OH(View on Map)
Legal Business Name
Community Integration Supports
NPI Number
1053197798
NPI Type
Organization
Enumeration Date
09/07/2023
Specialties
(Taxonomies)Name
Code
376J00000X
385HR2060X
343900000X
251X00000X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
635 CARSON SALT SPRINGS RD
635 CARSON SALT SPRINGS RD
City
Mineral Ridge
Mineral Ridge
State
OH
OH
Postal Code
44440-9334
44440-9334
Country
US
US
Telephone Number
(330) 503-2224
(330) 503-2224
Authorized Official
Name
Mr. Randall Burns
Title or Position
AO
Telephone Number
(330) 503-2224
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/13/2023