Provider Demographics
NPI:1831596220
Name:SUPPORT SOLUTIONS
Entity type:Organization
Organization Name:SUPPORT SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNDER
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPEER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:916-202-5609
Mailing Address - Street 1:559 16TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-1515
Mailing Address - Country:US
Mailing Address - Phone:916-202-5609
Mailing Address - Fax:916-673-6059
Practice Address - Street 1:559 16TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1515
Practice Address - Country:US
Practice Address - Phone:916-202-5609
Practice Address - Fax:916-673-6059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA504029332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals