# AHSAP SUPPORT SERVICES LLC

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

## Provider details

- **NPI number:** 1184133795
- **Authorized official:** DIEDRE YOLANDA COLSON (OWNER)
- **Authorized official phone:** (904) 537-7875

## Contact information

- **Practice address:** 2121 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-0309
- **Practice address phone:** (904) 537-7875
- **Practice address fax:** (904) 339-9674
- **Mailing address:** 2121 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-0309
- **Mailing address phone:** (904) 537-7875
- **Mailing address fax:** (904) 339-9674

## Taxonomy

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

## Other

- **Enumeration date:** 09/26/2017
- **Last updated:** 07/21/2022