Organization
INDEPENDENT SUPPORT CARE SERVICE LLC
Active
Other names
INDEPENDENT SUPPORT CARE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
NATWONA FULLER (OWNER)
(561) 856-2081
Entity
Organization
Contact information
Practice address
2188 S HAVERHILL RD, WEST PALM BEACH, FL 33415-7352
(561) 856-2081
Mailing address
PO BOX 16604, WEST PALM BEACH, FL 33416-6604
(561) 856-2081
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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