Organization
AHSAP SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEDRE YOLANDA COLSON (OWNER)
(904) 537-7875
Entity
Organization
Contact information
Practice address
2121 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-0309
(904) 537-7875
(904) 339-9674
Mailing address
2121 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-0309
(904) 537-7875
(904) 339-9674
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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