Provider Demographics
NPI:1518676394
Name:DIRECT COMMUNITY SERVICES LLC
Entity Type:Organization
Organization Name:DIRECT COMMUNITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:AKPAN
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:701-500-7567
Mailing Address - Street 1:3953 LONGHILL STATION RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-7368
Mailing Address - Country:US
Mailing Address - Phone:701-500-7567
Mailing Address - Fax:
Practice Address - Street 1:3953 LONGHILL STATION RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-7368
Practice Address - Country:US
Practice Address - Phone:701-500-7567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health