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Organization

FAVORED SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIEARRA KNEIVA DICKENS (CEO)
(904) 463-3917
Entity
Organization

Contact information

Practice address
8970 103RD ST STE 9, JACKSONVILLE, FL 32210-8689
(904) 374-6280
Mailing address
8970 103RD ST STE 9, JACKSONVILLE, FL 32210-8689
(904) 374-6280

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
376J00000X
Homemaker
Primary

Other

Enumeration date
09/28/2023
Last updated
09/28/2023
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