# SOUTHERN SUPPORTS AGENCY, INC

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

## Provider details

- **NPI number:** 1336043918
- **Authorized official:** TONI R MOSLEY-HALL (PROVIDER)
- **Authorized official phone:** (954) 288-8449

## Contact information

- **Practice address:** 13 SW 14TH AVE, CAPE CORAL, FL 33991-1411
- **Practice address phone:** (954) 288-8449
- **Mailing address:** 13 SW 14TH AVE, CAPE CORAL, FL 33991-1411
- **Mailing address phone:** (954) 288-8449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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