Organization
ZOOM SUPPORT AND TRANSPORTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL LINWOOD LOPEZ JR. (OWNER)
(215) 989-9576
Entity
Organization
Contact information
Practice address
2738 ROOSEVELT BLVD APT 419, CLEARWATER, FL 33760-2523
(267) 257-2774
Mailing address
2738 ROOSEVELT BLVD APT 419, CLEARWATER, FL 33760-2523
(267) 257-2774
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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