Provider Demographics
NPI:1568106888
Name:INTEGRITY SUPPORT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:INTEGRITY SUPPORT SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MSM
Authorized Official - Phone:856-373-2051
Mailing Address - Street 1:5 JAMIE CT
Mailing Address - Street 2:
Mailing Address - City:CLEMENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-5858
Mailing Address - Country:US
Mailing Address - Phone:856-373-2051
Mailing Address - Fax:856-483-8065
Practice Address - Street 1:5 JAMIE CT
Practice Address - Street 2:
Practice Address - City:CLEMENTON
Practice Address - State:NJ
Practice Address - Zip Code:08021-5858
Practice Address - Country:US
Practice Address - Phone:856-373-2051
Practice Address - Fax:856-483-8065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251X00000XAgenciesSupports Brokerage
No385H00000XRespite Care FacilityRespite Care