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Organization

IMANI SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BYAOMBE LILLIAN HARRIS (OWNER)
(352) 995-1295
Entity
Organization

Contact information

Practice address
4804 TARA VIEW RD, LEESBURG, FL 34748-7805
(352) 995-1295
Mailing address
4804 TARA VIEW RD, LEESBURG, FL 34748-7805
(352) 995-1295

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
342000000X
Transportation Network Company
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Enumeration date
10/06/2025
Last updated
10/06/2025
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