Provider Demographics
NPI:1457051187
Name:HOLY GHOST SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:HOLY GHOST SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORLAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSB, BSCPSS
Authorized Official - Phone:425-344-0766
Mailing Address - Street 1:18816 SMOKEY POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-8266
Mailing Address - Country:US
Mailing Address - Phone:425-344-0766
Mailing Address - Fax:360-403-9761
Practice Address - Street 1:18816 SMOKEY POINT BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8266
Practice Address - Country:US
Practice Address - Phone:425-344-0766
Practice Address - Fax:360-403-9761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management