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Organization

MVP SUPPORT SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE MICHELLE CASON (OWNER)
(904) 797-4322
Entity
Organization

Contact information

Practice address
701 SAN JOSE RD, ST AUGUSTINE, FL 32086-6551
(904) 797-4322
(904) 797-5472
Mailing address
701 SAN JOSE RD, ST AUGUSTINE, FL 32086-6551
(904) 797-4322
(904) 797-5472

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
678512396
FL
253Z00000X
In Home Supportive Care Agency
678512398
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
678512396
FL
05
678512398
FL
Enumeration date
04/06/2009
Last updated
04/06/2009
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