Organization
FLEMING SUPPORT SERVICES, LLC
Active
Other names
Fleming Support Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAHNITA FLEMING (OWNER)
(904) 414-1211
Entity
Organization
Contact information
Practice address
2304 BURPEE DR W, JACKSONVILLE, FL 32210-3739
(904) 414-1211
(866) 952-0945
Mailing address
2304 BURPEE DR W, JACKSONVILLE, FL 32210-3739
(904) 414-1211
(866) 952-0945
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024592000
—
FL
Enumeration date
05/05/2022
Last updated
10/10/2024
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