Organization
ESSENTIAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAIME PATTON (DIRECTOR)
(941) 447-0440
Entity
Organization
Contact information
Practice address
3410 5TH DR W, PALMETTO, FL 34221-6257
(941) 447-0440
Mailing address
3410 5TH DR W, PALMETTO, FL 34221-6257
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CNA201950
FL
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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