Organization
FORD NATION SUPPORT SERVICES LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP FORD (CEO)
(727) 564-4179
Entity
Organization
Contact information
Practice address
1855 ALLENDALE DR, CLEARWATER, FL 33760-1426
(727) 564-4179
(727) 564-4179
Mailing address
1855 ALLENDALE DR, CLEARWATER, FL 33760-1426
(727) 564-4179
(727) 564-4179
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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