Amazing Community Support Services Inc

LBN: Amazing Community Support Services Inc
Amazing Community Support Services Inc is an health care organization with primary practice located at 111 Lamon St , Fayetteville NC 28301-4901. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Amazing Community Support Services Inc can be contacted via phone (910) 630-2025, or through Nelson, Karena K via phone (910) 630-2025.

Contact Information

Primary practice address
111 Lamon St Fayetteville NC 28301-4901
Phone: (910) 630-2025
Fax: (910) 630-2057
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Karena K
Phone: (910) 630-2025

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1619114758
LBN Legal business name Amazing Community Support Services Inc
DBA Doing business as
Authorized official Nelson, Karena K
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2009
Last updated Jan 12th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619114758 NPPES
North Carolina MEDICAID 111111

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