Provider Demographics
NPI:1255862686
Name:SUPPORT COORDINATION SERVICES, LLC
Entity Type:Organization
Organization Name:SUPPORT COORDINATION SERVICES, LLC
Other - Org Name:SUPPORT COORDINATION SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/SUPPORT COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:KIRSTEN
Authorized Official - Last Name:BARTMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-968-0494
Mailing Address - Street 1:100 SCHOOL STREET
Mailing Address - Street 2:PO BOX 211
Mailing Address - City:BRUIN
Mailing Address - State:PA
Mailing Address - Zip Code:16022-0211
Mailing Address - Country:US
Mailing Address - Phone:724-968-0494
Mailing Address - Fax:
Practice Address - Street 1:100 SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:BRUIN
Practice Address - State:PA
Practice Address - Zip Code:16022-0211
Practice Address - Country:US
Practice Address - Phone:724-968-0494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management