Organization
LYNC SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUKISHA N KING (EXECUTIVE DIRECTOR)
(352) 354-3656
Entity
Organization
Contact information
Practice address
4314 SW 70TH TER APT D, GAINESVILLE, FL 32608-6482
(352) 354-3656
Mailing address
4314 SW 70TH TER APT D, GAINESVILLE, FL 32608-6482
(352) 354-3656
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
FL
253Z00000X
In Home Supportive Care Agency
—
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
3747P1801X
Personal Care Attendant
—
FL
385HR2055X
Child Mental Illness Respite Care
—
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
FL
385HR2065X
Child Physical Disabilities Respite Care
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021433100
—
FL
Enumeration date
08/10/2018
Last updated
08/10/2018
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