Provider Demographics
NPI:1356128367
Name:CSS MANAGEMENT SERVICES
Entity type:Organization
Organization Name:CSS MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CM, CCM
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:404-786-2688
Mailing Address - Street 1:4380 LEGENDARY ST
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-5248
Mailing Address - Country:US
Mailing Address - Phone:404-786-2688
Mailing Address - Fax:404-475-2008
Practice Address - Street 1:4380 LEGENDARY ST
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-5248
Practice Address - Country:US
Practice Address - Phone:404-786-2688
Practice Address - Fax:404-475-2008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management