Organization
SUPPORTIVE CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY DE JESUS LCSW (DIRECTOR)
(407) 953-8899
Entity
Organization
Contact information
Practice address
1964 BRIGATINE CV, OVIEDO, FL 32765-2704
(407) 953-8899
Mailing address
1964 BRIGATINE CV, OVIEDO, FL 32765-2704
(407) 953-8899
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
PRIVATE INSURANCE
—
Enumeration date
05/28/2020
Last updated
10/01/2020
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