Provider Demographics
NPI:1891492419
Name:INTEGRATED LINK SUPPORTED SERVICES
Entity Type:Organization
Organization Name:INTEGRATED LINK SUPPORTED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TURAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-648-3119
Mailing Address - Street 1:2020 BRICE RD # 235
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3428
Mailing Address - Country:US
Mailing Address - Phone:614-648-3119
Mailing Address - Fax:
Practice Address - Street 1:3848 BUFFLEHEAD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-1814
Practice Address - Country:US
Practice Address - Phone:614-648-3119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No251S00000XAgenciesCommunity/Behavioral Health
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child