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Organization
SOUTHERN SUPPORTS AGENCY, INC
Active
Organization
SOUTHERN SUPPORTS AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI R MOSLEY-HALL (PROVIDER)
(954) 288-8449
Entity
Organization
Contact information
Practice address
13 SW 14TH AVE, CAPE CORAL, FL 33991-1411
(954) 288-8449
Mailing address
13 SW 14TH AVE, CAPE CORAL, FL 33991-1411
(954) 288-8449
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171WH0202X
Home Modifications Contractor
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
372500000X
Chore Provider
—
NULL
372600000X
Adult Companion
Primary
—
NULL
373H00000X
Day Training/Habilitation Specialist
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
376J00000X
Homemaker
—
NULL
Other
Enumeration date
10/06/2026
Last updated
10/06/2026
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