Organization
JASON SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH J KEILI (OWNER/DIRECTOR)
(904) 505-0131
Entity
Organization
Contact information
Practice address
3562 OLD VILLAGE DR, ORANGE PARK, FL 32065-5521
(904) 505-0131
Mailing address
3562 OLD VILLAGE DR, ORANGE PARK, FL 32065-5521
(904) 505-0131
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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