| Organization Name: | COMMUNITY INTEGRATED SERVICES, INC |
| NPI Number: | 1902146459 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANELL FEATHERSTONE (PROGRAM DIRECTOR) |
| Mailing Address: | 34400 Pacific Hwy S Suite 4 Federal Way |
| State: | WA US |
| Postal Code: | 980037830 |
| Phone Number: | 2539520502 |
| Fax Number: | 2539520512 |
| NPI Enumeration Date: | 02/20/2013 |
| NPI Last Update Date: | 02/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 602 287 094 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |