Organization
EMPOWERING SUPPORTIVE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMRORN TOLBERT (CEO)
(772) 203-3896
Entity
Organization
Contact information
Practice address
2620 S 29TH ST APT B, FORT PIERCE, FL 34981-5592
(772) 203-3896
Mailing address
PO BOX 427, FORT PIERCE, FL 34954-0427
(772) 203-3896
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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