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Organization
SUPPLEMENTAL RELIEF LLC
Active
Organization
SUPPLEMENTAL RELIEF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE ERNE RN (MANAGER)
(954) 325-0030
Entity
Organization
Contact information
Practice address
1 E BROWARD BLVD STE 700, FORT LAUDERDALE, FL 33301-1876
(954) 325-0030
Mailing address
1 E BROWARD BLVD STE 700, FORT LAUDERDALE, FL 33301-1876
(954) 369-1005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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