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Organization

SENIOR SUPPORT SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI ANN CANCIO LCSW (PRESIDENT AND SECRETARY)
(305) 244-8903
Entity
Organization

Contact information

Practice address
6201 WILEY ST, HOLLYWOOD, FL 33023-1846
(305) 244-8903
Mailing address
6201 WILEY ST, HOLLYWOOD, FL 33023-1846
(305) 244-8903

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
SW7430
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770878381
PERSONAL NPI
FL
Enumeration date
07/13/2011
Last updated
07/13/2011
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