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Organization
FORD NATION SUPPORT SERVICES LIMITED LIABILITY COMPANY
Active
Organization
FORD NATION SUPPORT SERVICES LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP FORD (CEO)
(727) 564-4179
Entity
Organization
Contact information
Practice address
1855 ALLENDALE DR, CLEARWATER, FL 33760-1426
(727) 564-4179
(727) 564-4179
Mailing address
1855 ALLENDALE DR, CLEARWATER, FL 33760-1426
(727) 564-4179
(727) 564-4179
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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