Provider Demographics
NPI:1164244927
Name:CAREER SUPPORT LLC
Entity type:Organization
Organization Name:CAREER SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSWALD
Authorized Official - Middle Name:
Authorized Official - Last Name:TAKYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-999-0641
Mailing Address - Street 1:9121 WATERSIDE ST APT 218
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5046
Mailing Address - Country:US
Mailing Address - Phone:608-999-0641
Mailing Address - Fax:
Practice Address - Street 1:9121 WATERSIDE ST APT 218
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-5046
Practice Address - Country:US
Practice Address - Phone:608-999-0641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services