Organization
BLOUNT SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODTEICE BLOUNT (OWNER)
(904) 612-3917
Entity
Organization
Contact information
Practice address
1728 KINGSLEY AVE STE 1, ORANGE PARK, FL 32073-4456
(904) 612-3917
Mailing address
1728 KINGSLEY AVE STE 1, ORANGE PARK, FL 32073-4456
(904) 612-3917
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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