Provider Demographics
NPI:1053926352
Name:REUNION SUPPORTS SERVICES, INC.
Entity type:Organization
Organization Name:REUNION SUPPORTS SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SALIEU
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-401-4360
Mailing Address - Street 1:6527 BRITANNIC PL
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-2751
Mailing Address - Country:US
Mailing Address - Phone:301-401-4360
Mailing Address - Fax:
Practice Address - Street 1:6527 BRITANNIC PL
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-2751
Practice Address - Country:US
Practice Address - Phone:301-401-4360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-13
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services