Organization
SUPPORT SERVICES.COM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD ANTHONY MCCAULEY (SUPPORT COORDINATOR)
(904) 382-5436
Entity
Organization
Contact information
Practice address
2121 CORPORATE SQUARE BLVD STE 118, JACKSONVILLE, FL 32216-1977
(904) 382-5436
(904) 212-0417
Mailing address
PO BOX 8294, JACKSONVILLE, FL 32239-0294
(904) 382-5436
(904) 212-0417
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
678284196
—
FL
Enumeration date
07/13/2020
Last updated
07/13/2020
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