Organization
SUPPORTS PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ASHLEY BLEAU (PRESIDENT)
(252) 414-1347
Entity
Organization
Contact information
Practice address
1310 E ARLINGTON BLVD, SUITE A, GREENVILLE, NC 27858-5868
(252) 414-1347
Mailing address
1310 E ARLINGTON BLVD, SUITE A, GREENVILLE, NC 27858-5868
(252) 414-1347
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NC
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
252Y00000X
Early Intervention Provider Agency
—
NC
253Z00000X
In Home Supportive Care Agency
—
NC
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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