Organization
J AND R SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FREEMAN (DIRECTOR/OWNER)
(904) 534-1296
Entity
Organization
Contact information
Practice address
3119 SPRING GLEN RD, STE 102, JACKSONVILLE, FL 32207-5914
(904) 534-1296
Mailing address
3119 SPRING GLEN RD, STE 102, JACKSONVILLE, FL 32207-5914
(904) 534-1296
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
S266693095001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684697196
—
FL
Enumeration date
04/07/2014
Last updated
04/07/2014
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