Provider Demographics
NPI:1285942458
Name:COMMUNITY BEHAVIORAL NURSING SERVICES, INC
Entity type:Organization
Organization Name:COMMUNITY BEHAVIORAL NURSING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KOSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:330-606-9561
Mailing Address - Street 1:2857 RIVIERA DR STE 202
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3469
Mailing Address - Country:US
Mailing Address - Phone:330-606-9561
Mailing Address - Fax:866-354-6211
Practice Address - Street 1:2857 RIVIERA DR STE 202
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3469
Practice Address - Country:US
Practice Address - Phone:330-606-9561
Practice Address - Fax:866-354-6211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health