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Organization
SUPPORTING INDEPENDENCE INC
Active
Organization
SUPPORTING INDEPENDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS PARK (OWNER)
(407) 434-0766
Entity
Organization
Contact information
Practice address
2200 LUCIEN WAY, SUITE 175, MAITLAND, FL 32751-7007
(407) 434-0766
(407) 434-0766
Mailing address
2200 LUCIEN WAY, SUITE 175, MAITLAND, FL 32751
(407) 434-0766
(407) 434-0766
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993995
FL
253Z00000X
In Home Supportive Care Agency
299993995
FL
Other
Enumeration date
05/12/2011
Last updated
09/21/2015
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