Organization
SUPPORTING & IMPROVING LIVES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANA ROBERTS MPH (QO OWNER/ WSC)
(904) 514-1242
Entity
Organization
Contact information
Practice address
3119 SPRING GLEN RD STE 102, JACKSONVILLE, FL 32207-5921
(904) 514-1242
(904) 758-5409
Mailing address
3954 ANDERSON WOODS DR, JACKSONVILLE, FL 32218-9218
(904) 514-1242
(904) 758-5409
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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