Organization
SAFEKEEPING SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHANDA EVANS (OWNER)
(904) 465-3534
Entity
Organization
Contact information
Practice address
10316 RED TIP RD, JACKSONVILLE, FL 32218-9132
(904) 465-3534
Mailing address
PO BOX 8764, JACKSONVILLE, FL 32239-0764
(904) 465-3534
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103847500
MEDICAID
FL
05
—
103847500
—
FL
Enumeration date
01/22/2020
Last updated
01/22/2020
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