Organization
EXCEPTIONAL SUPPORT SERVICE LLC
Active
Organization
EXCEPTIONAL SUPPORT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMYNE V CARTER (OWNER)
(352) 222-8806
Entity
Organization
Contact information
Practice address
244 SW 121ST WAY, GAINESVILLE, FL 32607-1184
(352) 222-8806
Mailing address
244 SW 121ST WAY, GAINESVILLE, FL 32607-1184
(352) 222-8806
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C636438846380
—
FL
Enumeration date
02/24/2016
Last updated
02/24/2016
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