Provider Demographics
NPI:1275895476
Name:WARREN COUNTY COMMUNITY SERVICES INC
Entity Type:Organization
Organization Name:WARREN COUNTY COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:SALZBRUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-695-2201
Mailing Address - Street 1:570 N STATE ROUTE 741
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8839
Mailing Address - Country:US
Mailing Address - Phone:513-695-2100
Mailing Address - Fax:513-695-2277
Practice Address - Street 1:570 N STATE ROUTE 741
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-8839
Practice Address - Country:US
Practice Address - Phone:513-695-2100
Practice Address - Fax:513-695-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251B00000X, 251V00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable