Provider Demographics
NPI:1295238673
Name:COMMUNITY SOLUTIONS
Entity type:Organization
Organization Name:COMMUNITY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANDALE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-360-8704
Mailing Address - Street 1:1013 OLD MILLEN HWY LOT H
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30830-8817
Mailing Address - Country:US
Mailing Address - Phone:706-360-8704
Mailing Address - Fax:
Practice Address - Street 1:1013 OLD MILLEN HWY LOT H
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:GA
Practice Address - Zip Code:30830-8817
Practice Address - Country:US
Practice Address - Phone:706-360-8704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management