Organization
ADVANCE SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA DORIS CARRANZA (OWNER)
(772) 341-0676
Entity
Organization
Contact information
Practice address
2585 SW NATIONAL CIR, PORT SAINT LUCIE, FL 34953-2530
(772) 341-0676
Mailing address
2585 SW NATIONAL CIR, PORT SAINT LUCIE, FL 34953-2530
(772) 341-0676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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