Organization
SUPPORTS R US
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER ROBERTS (MANAGER)
(239) 997-9977
Entity
Organization
Contact information
Practice address
13180 N CLEVELAND AVE, NORTH FORT MYERS, FL 33903-6200
(239) 997-9977
(239) 997-9978
Mailing address
13180 N CLEVELAND AVE, NORTH FORT MYERS, FL 33903-6200
(239) 997-9977
(239) 997-9978
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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