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Organization

FAVORED SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIEARRA DICKENS (CEO)
(904) 374-6280
Entity
Organization

Contact information

Practice address
8970 103RD ST STE 9, JACKSONVILLE, FL 32210-8689
(904) 374-6280
Mailing address
8970 103RD ST STE 9, JACKSONVILLE, FL 32210-8689
(904) 374-6280

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care

Other

Enumeration date
02/27/2024
Last updated
02/27/2024
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