Organization
ACHIEVABLE ABILITIES SUPPORT SERVICES
Active
Organization
ACHIEVABLE ABILITIES SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS ELLIS (OWNER)
(727) 204-7911
Entity
Organization
Contact information
Practice address
6727 1ST AVE S STE 209, SAINT PETERSBURG, FL 33707-1341
(727) 204-7911
Mailing address
6727 1ST AVE S STE 209, SAINT PETERSBURG, FL 33707-1341
(727) 204-7911
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101553100
—
FL
Enumeration date
02/11/2022
Last updated
02/11/2022
Update your record
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