Organization
NELKIM SUPPORT SERVICES
Active
Organization
NELKIM SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DIXON (CEO)
(772) 307-1334
Entity
Organization
Contact information
Practice address
271 SW AUBUDON AVE, PORT SAINT LUCIE, FL 34984-5029
(772) 307-1334
Mailing address
271 SW AUBUDON AVE, PORT SAINT LUCIE, FL 34984-5029
(772) 307-1334
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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