Organization
L & S SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIEANN JONES (EXECUTIVE DIRECTOR)
(267) 475-4090
Entity
Organization
Contact information
Practice address
12500 LEM TURNER RD, JACKSONVILLE, FL 32218-2312
(904) 705-1938
Mailing address
12500 LEM TURNER RD, JACKSONVILLE, FL 32218-2312
(904) 705-1938
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0603236
—
NJ
Enumeration date
08/26/2022
Last updated
08/26/2022
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