Provider Demographics
NPI:1104670736
Name:COMMUNITY SUPPORT SOLUTIONS INC
Entity type:Organization
Organization Name:COMMUNITY SUPPORT SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAPHNNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:863-656-1406
Mailing Address - Street 1:211 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-9025
Mailing Address - Country:US
Mailing Address - Phone:863-656-1406
Mailing Address - Fax:863-808-5430
Practice Address - Street 1:99 6TH ST SW STE 103
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-7902
Practice Address - Country:US
Practice Address - Phone:863-656-1406
Practice Address - Fax:863-808-5430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health