# JD SANTOS SUPPORT SERVICES AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063040483
- **Authorized official:** JENNIFER DOS SANTOS (OWNER)
- **Authorized official phone:** (863) 419-6699

## Contact information

- **Practice address:** 3399 PATTERSON HEIGHTS DR, HAINES CITY, FL 33844-8215
- **Practice address phone:** (863) 419-6699
- **Mailing address:** 3399 PATTERSON HEIGHTS DR, HAINES CITY, FL 33844-8215
- **Mailing address phone:** (863) 419-6699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2020
- **Last updated:** 03/31/2020