Organization
HALL & ASSOCIATES SUPPORTIVE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE RENEE HALL (PRESIDENT)
(813) 887-5152
Entity
Organization
Contact information
Practice address
14213 SW 48TH AVENUE RD, OCALA, FL 34473-2381
(813) 887-5152
(352) 307-4426
Mailing address
PO BOX 772192, OCALA, FL 34477-2192
(813) 887-5152
(352) 307-4426
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101015600
—
FL
Enumeration date
01/31/2019
Last updated
02/18/2019
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