Organization
PRO SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA ANN HUDSON (OWNER)
(216) 551-6734
Entity
Organization
Contact information
Practice address
21625 CHAGRIN BLVD STE 260, BEACHWOOD, OH 44122-5363
(216) 551-6734
(216) 373-6565
Mailing address
21625 CHAGRIN BLVD STE 260, BEACHWOOD, OH 44122-5363
(216) 551-6734
(216) 373-6565
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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