Provider Demographics
NPI:1871044370
Name:CITIZEN SUPPORT SERVICES LLC
Entity Type:Organization
Organization Name:CITIZEN SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CITRENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-278-4589
Mailing Address - Street 1:107 FORREST AVE
Mailing Address - Street 2:SUITE 14
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2219
Mailing Address - Country:US
Mailing Address - Phone:484-278-4589
Mailing Address - Fax:
Practice Address - Street 1:107 FORREST AVE
Practice Address - Street 2:SUITE 14
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2219
Practice Address - Country:US
Practice Address - Phone:484-278-4589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health