# POWELL SUPPORTIVE SERVICES, INC

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

## Provider details

- **NPI number:** 1104121276
- **Authorized official:** MRS. NATASHA POWELL (OWNER)
- **Authorized official phone:** (813) 767-3808

## Contact information

- **Practice address:** 23452 ABERCORN LN, LAND O LAKES, FL 34639-8813
- **Practice address phone:** (813) 767-3808
- **Practice address fax:** (866) 249-9709
- **Mailing address:** 23452 ABERCORN LN, LAND O LAKES, FL 34639-8813
- **Mailing address phone:** (813) 767-3808
- **Mailing address fax:** (866) 249-9709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 231199 | FL | Yes |

## Other

- **Enumeration date:** 01/20/2011
- **Last updated:** 01/20/2011