Organization
INDEPENDENT SUPPORT CARE SERVICE LLC
Active
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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