Organization
A FRESH START SUPPORT SERVICES
Active
Other names
AFresh Start Support Services, A fresh Start Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONYA CORNELIA WILLIAMS (ADMINISTRATOR. ASST.)
(813) 412-0090
Entity
Organization
Contact information
Practice address
6421 OAKTREE CT, TAMPA, FL 33610-1458
(727) 645-7211
Mailing address
PO BOX 4535, TAMPA, FL 33677-4535
(727) 645-7211
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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