Provider Demographics
NPI:1568359073
Name:OEO SUPPORT SERVICES
Entity type:Organization
Organization Name:OEO SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TELISHA
Authorized Official - Middle Name:DEMAREST
Authorized Official - Last Name:REAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-698-4188
Mailing Address - Street 1:12 CAMPBELL AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2862
Mailing Address - Country:US
Mailing Address - Phone:973-698-4188
Mailing Address - Fax:
Practice Address - Street 1:12 CAMPBELL AVE APT 1
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2862
Practice Address - Country:US
Practice Address - Phone:973-698-4188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services