Provider Demographics
NPI:1104621325
Name:KEEL SUPPORT SERVICES, LLC
Entity type:Organization
Organization Name:KEEL SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEEL
Authorized Official - Suffix:
Authorized Official - Credentials:MRHT/C
Authorized Official - Phone:207-200-6388
Mailing Address - Street 1:PO BOX 1121
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04211-1121
Mailing Address - Country:US
Mailing Address - Phone:207-200-6388
Mailing Address - Fax:
Practice Address - Street 1:121 HIGH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-5714
Practice Address - Country:US
Practice Address - Phone:207-200-6388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management